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Digitized  by  the  Internet  Archive 
in  2016 


https://archive.org/details/ourfamilyphysici00stou_0 


SIXTIETH  THOUSAND 


Our  Family  Physician 


By  H.  R.  STOUT,  M.  D. 


A Plain,  Practical  and  Reliable  Guide 


TO  THE 

Detection  and  Treatment  of  all  the  Diseases 
Common  to  this  Country. 


DESIGNED  FOR  USE  BY  PEOPLE  WHO  HAVE  NOT  MADE  THE  PRAC- 
TICE OF  MEDICINE  A STUDY  OR  A BUSINESS,  AND  WHO 
ARE  NOT  SUPPOSED  TO  BE  FAMILIAR  WITH 
TECHNICAL  PHRASES  AND  NAMES,  BUT 
WANT  INFORMATION  STATED 
IN  PLAIN  ENGLISH. 

GIVES,  SEPARATELY,  WITH  EVERY  DISEASE,  THE  TREATMENT  PRE- 
SCRIBED BY  EACH  OF  THE  “ SCHOOLS,”  AND  FULL  AND 
EXPLICIT  DIRECTIONS  FOR  NURSING  THE  SICK, 
PREPARATION  OF  FOOD  FOR 
THE  SICK,  ETC. 

TO  KNOW  WHEN  TO  GO  AFTER  A DOCTOR  IS  AN  IMPORTANT  THING.  NINE  TIMES  OUT 
OF  TEN  CALLING  ONE  IS  A USELESS  EXPENSE,  WHILE  FAILING  TO  CALL 
ONE  AT  THE  PP.OPER  TIME  MAY  COST  A LIFE! 


TAKE  NOTICE! 

This  work  differs  from  ail  others  in  this:  In  it,  in  a separate  department  ( see  page  524,) 
the  characteristic  symptoms  of  the  various  diseases  are  so  arranged  and  classified  that  any 
person  of  ordinary  intelligence  can,  by  consulting  this  “Table  of  Symptoms,”  recognize  a dis- 
ease when  it  presents  itself,  and,  by  following  the  directions  given  in  the  body  of  the  book , 
may  treat  it  as  successfully  as  a physician  could. 


Revised,  1886,  by  the  Publishers. 


PEORIA,  ILLINOIS. 
1886. 


Copyright,  1385,  by  Hendsrson  & Smith. 


e.  V . JACKSON 


PREFACE  TO  FORTIETH  THOUSAND. 


The  purpose  of  this  book  is  two-fold:  first,  to  promote  the 
health  of  the  families  into  which  it  may  come;  and,  second,  to 
diminish  the  expense  of  maintaining  that  blessing  in  the  house- 
hold. 

To  this  end,  it  is  so  arranged  that  any  person  of  ordinary 
intelligence  can,  by  its  use,  determine  exactly  what  disease  a 
patient  is  threatened  with  or  suffering  from,  in  case  of  sickness 
in  the  family,  and  so  know  at  once  whether  it  is  necessary,  or 
whether  it  is  not  necessary,  to  call  a physician.  Such  informa- 
tion is  of  the  utmost  importance,  especially  in  the  early  stages 
of  an  attack,  and  every  family  should  be  able  to  gain  it  with- 
out professional  assistance. 

As  a rule,  the  symptoms  of  any  given  disorder  of  the 
human  system  are  substantially  the  same  in  the  different  indi- 
viduals it  attacks.  It  is  these  symptoms  that  indicate  the 
malady,  and  all  doctors  agree  as  to  their  nature  and  meaning. 
The  author  of  this  volume  has  compiled  and  arranged  these 
indications  of  disease  under  the  title  of  “A  Table  of  Symp- 
toms,”— see  page  524.  Here,  by  the  simple  device  of  grouping 
together  diseases  of  a similar  nature,  and  proceeding  from  the 


iv 


PREFACE. 


general  to  the  specific  symptoms,  by  table  references  to  the 
body  of  the  book,  be  has  given  a reliable  chart  by  which  any 
disease  may  readily  be  identified.  In  this  respect  this  volume 
is  without  a rival.  The  value  of  this  special  feature  is  so 
obvious  that  everybody  must  at  once  see  it. 

With  the  case  thus  in  the  hands  of  the  parties  most  inter- 
ested, it  can  be  handled  as  occasion  requires.  If  it  needs  pro- 
fessional attendance,  the  proper  persons  know  the  fact  in  the 
outset  and  can  summon  a physician  at  once,  thus  gaining  time 
that  may  save  a life.  If  it  is  not  a malignant  disorder,  as  the 
great  majority  of  diseases  are  not,  it  can  be  treated  at  home 
and  the  trouble  and  expense  of  calling  a physician  be  saved. 

In  either  case  it  is  proper  and  advantageous  for  the  head  ot 
the  house  to  know  what  disease  has  entered  the  home,  as  well 
as  something  of  the  line  of  treatment  that  will  be  followed; 
and  so,  while  the  volume  is  not  designed  to  do  away  with  the 
physician,  when  professional  services  are  really  required,  never- 
theless it  is  intended  to  make  such  necessity  an  occasional, 
rather  than  a frequent  occurrence  in  the  household. 

This  primary  aim  being  reached,  full  and  explicit  directions 
are  given  for  managing  all  such  cases  of  sickness  as  can  be 
successfully  treated  at  home;  and  that  the  range  may  be  as 
wide  as  possible,  the  modes  of  treatment  used  by  each  of  the 
prominent  schools  of  medicine  in  this  country  are  given.  Thus, 
for  every  disease  mentioned  in  the  book  there  are  given,  first, 
the  symptoms;  then,  the  treatment  as  prescribed  severally  by 


PREFACE. 


tlie  Allopathic,  Homeopathic,  Eclectic  and  Herbal  schools. 
This  is  another  feature  peculiar  to  this  volume. 

While  the  contents  of  the  book  have  been  compiled  and 
arranged  by  a single  individual,  yet  the  volume  is  in  reality  the 
work  of  a corps  of  well-known  physicians,  representing  all  the 
different  schools  of  medicine.  These  gentlemen  have  agreed 
regarding  the  classification  and  symptoms  of  diseases;  they 
have  differed  regarding  their  treatment,  and  the  representatives 
of  each  school  make  their  own  prescriptions. 

These  prescriptions  are  all  given  in  plain  English,  and 
not  in  Latin  and  symbols,  as  such  directions  are  generally 
given,  so  that  no  mistake  can  be  made  in  their  preparation, 
even  by  the  inexperienced. 

Indeed,  this  idea  of  simplicity  and  directness  in  the  language 
used  has  been  kept  up  all  through  the  work.  In  the  words  of 
the  Author: 

M In  the  preparation  of  the  work  I endeavored  to  describe 
each  disease  in  as  plain  and  simple  a manner  as  possible,  avoid- 
ing the  use  of  technical  terms,  and  expressing  myself  in  plain 
English , so  that  a child  might  understand.” 

The  author  and  compiler  has  done  his  work  well.  He  has 
combined  into  one  harmonious  whole  and  within  a limited  space 
a vast  amount  of  most  valuable  knowledge,  that  has  usually 
been  scattered  through  many  volumes  and  over  thousands  of 
pages. 

Finally,  we  are  perfectly  sure  that  u Our  Family  Physician  ” 
is  a reliable,  useful  and  extremely  valuable  book.  We  have 


vi 


PREFACE. 


implicit  confidence  in  it  ourselves,  and  recommend  it  heartily  to 
our  friends.  By  the  large  sale  of  the  several  former  editions, 
and  by  the  approval  of  physicians  and  patrons,  it  has  proved 
itself  more  than  worthy  of  the  confidence  that  we  reiterate  as 
the  volumes  are  sent  forth  that  complete  the  fortieth  thousand. 

THE  PUBLISHERS. 


TESTIMONIALS. 


The  following  endorsements  of  the  work  are  from 
distinguished  Physicians  of  the  Homeopathic,  Allo- 
pathic and  Eclectic  schools: 

Gentlemen: 

Having  examined  tlie  advance  sheets  of  your  forthcoming 
work,  entitled  “Our  Family  Physician,”  I can  certify  that  I 
find  it  accurate  in  its  descriptions  of  disease,  and  reliable  in  its 
therapeutical  department. 

N.  F.  COOKE,  M.  D. 

Profe«*or  of  Theory  and  Practice,  Hahnemann  Medical  College 


Gentlemen: 

I hereby  certify  that  I have  examined  a work  entitled 
44  Our  Family  Physician,”  and  find  it  to  be  correct  in  its  diag- 
nosis of  diseases,  and,  in  my  opinion,  worthy  of  the  confidence 
of  the  public. 

H.  S.  HAHN,  M.  D. 


Gentlemen: 

At  your  request,  I have  examined  the  advance  sheets  of 
your  publication,  u Our  Family  Physician.”  It  gives  me  pleas- 
ure to  recommend  the  work  as  correct  in  its  mode  of  treatment 
of  disease,  and  it  deserves  a wide  circulation. 

J.  F.  COOK,  M.  D. 

Professor  in  Bennett  Medical  College,  Chicago. 


Gentlemen: 

After  examining  your  publication  entitled  44  Our  Family 
Physician,”  I can  fully  endorse  the  opinions  expressed  of  its 
merits  by  the  above  gentlemen. 

R.  A.  GUNN,  M.  D. 

Professor  in  Bennett  Medical  College, 


TABLE  OP  CONTENTS. 


SECTION  L — GENERAL  DISEASES. 

CHAPTER  I. 

(Page  17.) 

DISEASES  OF  THE  SKIN.  — 1.  Eruptive  Fevers.  — Rash  — Nettle  Rash 
(Hives)  — Erysipelas  (St.  Anthony’s  Fire)  — Measles  {Rubeola)  — Scarlet  Rash  — 
Scarlet  Fever  {Scarlatina) — Chicken  Pox  {Varicella)  — Small  Pox  {VaHola) 
Varioloid. 

2.  Chronic  Eruptions.  — Irritation  of  the  Skin  {Pruritus  — Itching)  — Chilblains 
— Ringworm  {Ilerpes  Oircinnatus)  — Tetter  {Rapes)  — Itch  {Scabies)  — Milk 
Crust {Cb'usta  Lactea)  — Scald  Head  {Tinea  Capitis)  — Corns  — Warts  {Verruca). 


CHAPTER  II  . 

(Page  65.) 

Fevers.  — Common,  or  Ephemeral  Fever — General  Inflammatory  Fever  — Ner- 
vous, or  Typhoid  — Brain — Remittent — Intermittent  — Yellovr. 


CHAPTER  III. 

(Page  99.) 

Affections  of  the  Minb.  — Hypochondria  — Hysteria  — Melancholia  — Mania 


CONTENTS. 


% 


CHAPTER  IV. 

(Page  106.) 

Affections  of  the  Head.  — Congestion,  or  Determination  of  Blood  to  the 
Head  — Giddiness  or  Dizziness  (Vertigo)  — Apoplexy  — Inflammation  of  the 
Brain  — Sunstroke  ( Coup  de  Soleil)  — Headache  from  Catarrh  — Headache  from 
Congestion  of  Blood  — Headache  from  Rheumatism  — Headache  from  Constipa- 
tion and  Gastric  Derangement  — Sick  Headache  — Nervous  Headache  (Neuralgia 
in  the  Head)  — Falling  off  of  the  Hair  (. Allopecia ). 


CHAPTER  V. 

(Page  131.) 

Affections  of  the  Eyes. — Falling  of  the  Eyelid  (Paralysis)  — Inflammation 
and  Swelling  of  the  Eyelids  — Inflammation  of  the  Margins  of  the  Lids  — 
Inflammation  of  the  Eyeball  (Ophthalmia) — Chronic  Inflammation  of  the  Eyes 
— Chronic  Inflammation  from  Scrofula — Sty  on  the  Eyelid  — Weeping  or 
Watery  Eye  — Cataract  — Weakness  of  the  Sight  (Amblyopia)  — Blindness 
(Amaurosis)—  Short  Sightedness  (Myopia)  — Far  Sightedness  (Presbyopia)  — 
Squinting  (Strabismus)  — Foreign  Substances  in  the  Eye. 


CHAPTER  VI. 

(Page  147.) 

Affections  of  the  Ears.  — The  External  Ear  and  Surrounding  Parts— Inflam- 
mation of  the  Ear  (Otitis)  — Earache  (Otalgia)  — Humming  and  Buzzing  in  the 
Ear  — Hardness  of  Hearing  (Surditas)  — Running  of  the  Ears  (Otorrhcea) — 
Piercing  of  the  Ear  — Foreign  Substances  in  the  Ear. 


CHAPTER  VII. 


(Page  155.) 

Affections  of  the  Nose.  — Inflammation  and  Swelling  of  the  Nose  — Bleeding 


CONTENTS. 


XI 

of  the  Ncse  ( Fpistaxis ) — Cold  in  the  Head  ( Coryza  — Catarrh)  — Ulceration  of 
the  Nose  ( Ozcma  Narium)  — Polypus  of  the  Nose  — Cancer  of  the  Nose  — 
Foreign  Substances  in  the  Nose. 


CHAPTER  VIII. 


(Page  166.) 

Affections  of  the  Face,  Lips  and  Jaws.  — Erysipelas  of  the  Face  and  Lips  — 
Eruptions  on  the  Face  — Face  Ache  (Neuralgia,  Tic  Dolour  cux)  — Freckles  — 
Paralysis  of  the  Face  and  Jaw  — Lockjaw  ( Trismus ) 


CHAPTER  IX. 

(Page  178 ) 

Affections  of  the  Teeth,  Gums  and  Mouth.  — Toothache  (Odontalgia)  — 
Decay  of  the  Teeth  ( Caries ) — Offensive  Breath  — Bad  Taste  in  the  Mouth  — 
Abscess  of  the  Gums  (Gum  Boils)  — Inflammation  and  Swelling  of  the  Tongue 
(Glossitis)  — Canker  of  the  Mouth  (Stomacace)  — Scurvy  (Scorbutus)  — Salivation 
(Ptyalism)  — Difficulty  of  Speech  (Stammering). 


CHAPTER  X. 

(Page  194.) 

Affections  of  the  Throat.— Sore  Throat  (Quinsy,  Angina  Faucium)  — Ulcer- 
ated and  Putrid  Sore  Throat  (Malignant  Quinsy,  Angina  Gangrenosa)  — Swelling 
or  Elongation  of  the  Palate  — Diphtheria. 


xii 


CONTENTS. 


CHAPTER  XI. 

(Page  208.) 

Affections  of  the  Windpipe  and  Chest.  — Hoarseness  ( Raucitas , Aphonia)  — 
Inflammation  of  the  Windpipe  {Bronchitis)  — Influenza  — Cough  — Inflamma- 
tion of  the  Lungs  {Pneumonia)  — Pneumonia  in  Old  People  — Pleurisy  (Pleuritis) 
False  Pleurisy  (Stitch  in  the  Side)  — Inflammation  of  the  Heart  {Carditis)  — Pal- 
pitation of  the  Heart — Neuralgia  of  the  Heart  — Breast  Pan g (Angina  Pectons) 
Bleeding  of  the  Lungs  {Ecemoptysis)  — Asthma  — Dropsy  of  the  Chest  {Hydro- 
thorax)  — Consumption  {Phthisis  Pulmonalis) — Contusion  of  the  Chest — Foreign 
Substances  in  the  Windpipe. 


CHAPTER  XII. 

(Page  253.) 

Affections  of  the  Stomach  and  Bowels.  — Want  of  Appetite  {Anorexia)  — 
Morbid  or  Diseased  Appetite  {Bulemy)' — Dyspepsia  (Heart  Burn,  Indigestion, 
Waterbrash,  Flatulency,  Sour  Stomach,  Pyrosis)  — Vomiting  — Nausea  — Sea 
Sickness  — Neuralgia  of  the  Stomach  {Gastralgia)  — Stomach  Ache  (Griping  Colic, 
Enteralgia) — Inflammation  of  the  Stomach  {Gastritis)  — Inflammation  of  the 
Bowels  {Enteritis)  — Inflammation  of  the  Liver  (Liver  Complaint,  Hepatitis) 
Jaundice  {Icterus)  — Inflammation  of  the  Spleen  {Splenitis)  — Worms —Consti- 
pation (Costiveness)  — Diarrhoea  — Dysentery  (Bloody  Flux)  — Cholera  Morbus 
— Asiatic  Cholera  — Piles  ( Hemorrhoids ) — Falling  of  the  Bowel,  {Prolapsus  Aid) 
Rupture  {Hernia)  — Dropsy  of  the  Abdomen  {Ascites). 


CHAPTER  XIII. 

(Page  323.) 

Affections  of  the  Urinary  and  Genital  Organs.  — Inflammation  of  the 
Kidneys  (Nephritis)  — Inflammation  of  the  Bladder  (Cystitis)  — Retention  of 
Urine  (Ischuria)  — Incontinence  of  Urine  (Enuresis) — Diabetes  — Gravel  and 
Stone  in  the  Bladder  (Calculus)  — Blood  with  the  Urine  ( Hoematuria ) — Mastur- 
bation (Onanism)  — Pox  ( Syphilis ) — Clap  ( Gonorrhoea , Gleet). 


CONTENTS. 


Xlll 


SECTION  II.  — DISEASES  OF  WOMEN. 

CHAPTER  I. 

(Page  $44.) 

MENSTRUATION.  — A full  description  of  this  Function. 


CHAPTER  II. 

(Page  349.) 

Disorders  op  Menstruation.  — Delayed  and  Obstructed  Menstruation  — Green 
Sickness  ( Chlorosis ) — Profuse  Menstruation  (. Menorrhagia ) — Painful  Menstru- 
ation ( Afensirual  Colic , Dyvncnorrhcca ) — Suppression  of  the  Menses  ( Amenor - 
rhcca)  — Cessation  of  the  Menses  (Change  of  Life.) 


CHAPTER  III. 

(Page  367.) 

Pauling  of  tke  Wostb,  (Prolapsus  Uteri ) — Whites  ( Leucorrheta , Fluor  AJbu$.) 


CHAPTER  IV. 

(Page  375.) 

Pregnancy  and  its  Disorders.  — Signs  of  Pregnancy  — Dress — Exercise  — 
Diet — Morning  Sickness  — Itching  of  the  Privates  (Pruritus  Vulvce) — Varicose 
Veins  — Piles  ( Hemorrhoids ) — Swelling  of  the  Feet  — Constipation  — Diar- 
rhoea — Toothache  — Salivation  — Dyspepsia  (Heart  Burn,  Sour  Stomach) 

— Hysteric  Fits  — Palpitation  of  the  Heart  — Headache  — Cough  — Cramp- 

— Incontinence  of  Urine  (Enuresis)  — Difficult  Urination  (Stranguria) — Flood- 
ing (Hemorrhage)  — Miscarriage  (Abortion)  — False  Pains  — Preparation  of 
the  Breasts. 


XIV 


CONTENTS. 


CHAPTER  V. 

(Page  396.) 

Confinement  ob  Parturition.  — Labor  — Labor  Pains  — Delivery  — Treat- 
ment 8X101’  Delivery  — Dressing  the  Navel  — Light  — Temperature  — Ventila- 
tion — After  Pains  — Flooding  (Hemorrhage)  — Duration  of  Conefinemcnt  — 
Diet  and  Regimen  during  Confinement  — Lochia  — Suppression  of  the  Lochia 
— Excessive  or  Protracted  Lochia  — Milk  Fever  — Suppression  of  the  Milk  — 
Excessive  Secretion  of  the  Milk — Sore  Nipples  — Broken  Breast  (Mastit is)  — 
Constipation  after  Confinement  — Diarrhoea  after  Confinement  — Childbed  Fe- 
ver (. Puei'peral  Peritonitis)  — Milk  Leg  ( Phlegmasia  Alba  Dolens)  — Nursing  Sore 
Mouth.  ♦ 


SECTION  III.  — DISEASES  OF  INFANTS. 

(Page  415.) 

Clothing  of  Infants  — Apparent  Death  of  New  Born  Infants  (Asphyxia)  — Diet 
of  a New  Bom  Infant  — Swelling  and  Elongation  of  the  Head  — Swelling  of 
the  Breasts  — The  Meconium  — Menial  Emotions  affecting  the  Milk  — Wean- 
ing — Supplementary  Diet  of  Infants — Restlessness  and  Sleeplessness  — Exco- 
riation and  Rawness  of  the  Skin  — Jaundice  (Icterus)  — Convulsions  (Spasms) 
Teething  (Dentition)  — Snuffles  (Coryza,  Cold  in  the  Head)  — Thrush,  or  Sore 
Mouth  (Apthce)  —Constipation  — Diarrhoea  — Dropsy  of  the  Brain  (Hydroceph- 
alus)— Remittent  Fever  — Cholera  Infantum  (Summer  Complaint)  — Spas- 
modic Croup  — Membranous  Croup  — Whooping  Cough  (Pertussis)  — Colic  — - 
Worms  — Inflammation  of  the  Brain  — Mumps  (Parotitis.) 


SECTION  TV.  — MISCELLANEOUS  DISEASES. 

CHAPTER  I. 

(Page  449.) 

Rheumatism  — Gout  — Hip  Disease  (Coxalgia)  — Cramps  — Goitre  (Derbyshire 
Neck)  — Sleeplessness  — Palsy  — Delirium  Tremens  (Mania  a Potu)  — Epilepsy 

— St.  Vitus’  Dance  (Chorea)  — Fainting  (Syncope.) 

Apparent  Death.  — From  Hunger  — From  Drowning  — From  Freezing  — From 
Hanging  — From  Lightning  — From  Noxious  Vapors — From  Falls  or  Blows 

— From  Violent  Mental  Emotions. 


CONTENTS. 


T1 


CHAPTER  II. 

i 

(Page  472.) 

The  Sick  Room.  — Nursing  — Preparation  of  Food  for  Sickness  and  Convaie* 
cence  — Useful  Recipes. 


CHAPTER  III. 


Hydropathic  Treatment. 


(Page  481.) 


Pharmacy. 


CHAPTER  IV. 

(Page  43A.J 

\ 


SECTION  Y.  — SURGERY  AND  POISONS. 


(Page  498.) 

Surgical  Appliances.  — Poultices  — Fomentations  — Plasters  — Rollers  and 
Bandages  — Splints. 

Occidents.  — Fracture  of  Bones  — Of  Nose  — Of  Lower  Jaw  — Of  Ribs  — Of 
Collar  Bone  (Scapula)  — Of  Arm  — Of  Elbow  — Of  Fingers  — Of  Thigh  — Of 
Leg  — Of  Foot  — Of  Toes.  Compound  Fractures  — Dislocation  — Of  Jaw  — 
Of  Collar  Bone  — Of  Shoulder  — Of  Elbow  — Of  Wrist  — Of  Fingers  — Of 
Hip  — Of  Knee-pan  — Of  Knee-joint  — Of  Ankle  — Wounds  — Bruises  — 
Sprains  and  Concussions  — Burns  and  Scalds — Frozen  Limbs  — Boils  (. Fertm- 
tuhis)  — Carbuncle  ( Anthrax ) — Felon  ( Whitlow ) — Ingrowing  Toe-nail. 


XTi  CONTENTS. 

(Page  517.) 

POISONS  AND  ANTIDOTES.  — Animal  Poisons  — Vegetable  Poisons  — Mine- 
ral Poisons. 


(Page  519.) 

GLOSSARY  OF  SCIENTIFIC  AND  TECHNICAL  TERMS  USED  IN  THIS 
BOOK. 


(Page  534.) 

TABLE  OF  SYMPTOMS  TO  FACILITATE  THE  DETECTION  OF  DISEASE. 


vPage  535.) 
GENERAL  INDEX. 


Our  Family  Physician. 


SECTION  I.  — GENERAL  DISEASES. 


CHAPTER  I.  — DISEASES  OF  THE  SKIN. 
No.  I.  — Eruptive  Fevers. 

Rash. 

rriHIS  complaint  is  frequently  caused  by  taking  cold,  fatigue,  dis- 
I-  ordered  stomach,  etc.  It  appears  in  the  form  of  small  red 
spots,  which  itch  intolerably,  particularly  at  night.  There  is  no 
danger  to  be  apprehended  from  this  disease. 

TREATMENT HOMEOPATHIC. 

When  the  itching  is  very  great,  with  either  shivering  or  heat,  and 
restlessness,  give  a dose,  (six  globules)  every  hour,  of  Chamomilla. 
After  two  or  three  hours,  if  not  better,  give  a dose,  (six  globules) 
every  hour,  of  Ledum  Palustre.  If  not  better  the  next  day,  give 
Rhus  and  Sulphur  in  alternation  (turn  about)  every  two  or  three 
hours.  Tepid  baths  will  be  found  very  refreshing. 

ALLOPATHIC, 

The  following  mild  aperient  may  be  given  : 

Magnesia, h Poun(^. 

Ginger  in  fine  powder  ...  1 ounce. 

Rhubarb  in  fine  powder  2 ounces. 

Mix.  Dose,  for  children,  about  half  a teaspoonful  • for  an 
adult,  a teaspoonful  or  more 

2 . 


'■*  ~-v 


18 


OUR  FAMILY  PHYSICIAN. 


Nettle  Rash,  (Hives,  Urticaria.) 

This  is  an  eruption  of  the  skin  which  is  similar  to  that  produced 
by  nettles.  It  is  not  contagious,  nor  dangerous. 

Causes. — Some  persons  have  a predisposition  to  this  disease,  and 
it  is  brought  on  by  the  slightest  error  in  diet.  Some  kinds  of  food 
bring  on  an  attack,  as  shell  fish,  cucumbers,  mushrooms,  strawber- 
ries, mackerel,  etc.  Children  who  have  a fine  delicate  skin,  are 
liable  to  it. 

Symptoms . — The  eruption  consists  of  elevated  spots  on  the  sur- 
face of  the  skin,  sometimes  red,  but  generally  mixed  white  and 
red,  solid,  and  attended  with  violent  burning  or  tingling,  and  itch- 
ing. Nettle  Rash  appears  more  frequently  in  small  children  in  the 
form  of  large  blotches,  of  an  irregular  shape,  and  are  of  a bright 
red  color,  excepting  the  centre,  which  is  white,  and  slightly  eleva- 
ted. The  eruption  sometimes  changes  from  one  point  to  another. 
In  some  cases  the  disease  is  preceded  for  a few  hours  by  fever, 
headache,  nausea,  vomiting,  bitter  taste  in  the  mouth.  Sometimes 
the  eruption  resembles  the  ridges  caused  by  the  stroke  of  a whip 
lash. 

TREATMENT ALLOPATHIC. 

When  the  disease  is  caused  by  anything  taken  into  the  stomach, 
^ive  as  an  emetic,  the  following: 

Tarter  Emetic  .....  1 grain. 

Ipecacuanha  Powder,  1 scruple. 

Simple  Syrup,  .....  1 drachm. 

Mint  Water, 10  drachms. 

Mix.  Take  at  one  dose. 

Follow  this  with  a brisk  purgative,  as  follows  : 

Compound  Extract  of  Colocynth,  - - drachm. 

Extract  of  Jalap,  ....  15  grains. 

Mix.  Make  into  12  pills.  Two  or  three  pills  will  produce  an 
active  operation. 

If  there  are  severe  nervous  symptoms,  give  sulphuric  ether  in 
-loses  of  fiom  five  to  twenty  drops,  according  to  the  age  of  the 
patient ; give  every  half  hour. 


As  an  external  application  use 

one  of  the  following  : 

Sugar  of  Lead, 

^ drachm. 

Carbonate  of  Ammonia, 

- 1 drachm. 

Rose  Water,  - 

£ pint. 

Mix. 

GENERAL  DISEASES. 


19 


Or, 

Alcohol,  ounces. 

Rose  Water,  .....  4 

Mix. 

Or  the  following,  recommended  by  Dr.  Erasmus  Wilson  : 

Corrosive  Sublimate,  • - * - 6 grains. 

Spirits  of  Rosemary,  - - - - -1  ounce. 

Alcohol, 1 “ 

Emulsion  of  Bitter  Almonds,  * * * 6 “ 

Mix. 

It  is  advisable  to  make  use  of  external  applications  carefullj 
else  the  eruption  may  be  driven  in  and  serious  consequences  follow 

ECLECTIC  AND  HERBAL. 

Wherever  the  eruption  appears,  rub  the  body  with  wheat  floui 
and  let  the  patient  drink  freely  of  Saffron  Tea,  or  Sage  and  Sassa 
fras  Tea.  As  the  patient  gets  better,  give  a physic  composed  at 
follows:  To  three  parts  of  Cream  of  Tartar  add  one  of  Sulphur, 

and  mix  with  molasses  ; give  a teaspoonful  three  times  a day  for 
several  days.  If  this  is  not  sufficiently  active,  give  a dose  of  Salts 
and  Senna.  Warm  saleratus  water  is  a good  application  for  the 
skin. 

HOMEOPATHIC. 

Aconite.  — Where  the  eruption  is  preceded  or  accompanied  by 
considerable  fever,  hot  skin,  thirst,  furred  tongue  and  restlessness. 

Dulcamara . — When  the  attack  is  caused  by  taking  cold,  and  is 
attended  with  nausea,  vomiting,  bitter  taste  in  mouth,  diarrhoea  ; 
symptoms  aggravated  at  night,  and  by  the  heat  of  the  room,  and 
better  in  the  open  air.  This  remedy  may  be  given  in  alternation 
with  Antimonium  Crudum. 

Rhus  Tox. — When  the  eruption  is  attended  with  itching  and 
burning,  especially  after  coming  in  from  the  open  air  ; also  when 
caused  by  some  particular  article  of  food. 

Pulsatilla.  — When  the  attack  has  been  excited  by  rich  and  fat 
food. 

Calcarea  Carbonica. — When  the  rash  vanishes  on  going  into  the 
fresh  air,  and  is  excited  by  the  application  of  cold  water  ; face 
yellow,  skin  rough  and  covered  with  goose  pimples,  stunning  pains 
in  the  head,  nausea  and  dizziness  at  night,  or  in  the  morning  on 
waking. 

When  caused  by  taking  cold  in  damp  weather,  with  pains  in  the 
limbs,  shivering  and  headache,  give  Bryonia  and  Rhus  Tox,  alter- 


20 


OUR  FAMILY  PHYSICIAH. 


nately  (turn  about)  every  three  or  four  hours  a dose  (four  or  six 
globules.)  Ledum  Palustre  is  another  remedy  which  will  cure  a 
large  proportion  of  cases. 

Should  the  eruption  strike  in,  and  the  patient  complain  of  sick- 
ness  at  the  stomach,  great  weakness,  etc.,  give  Ipecac  or  Bryonia, 
every  hour  for  several  hours  ; if  not  better  in  three  hours  give  Ar- 
senicum. At  the  same  time  cover  the  patient  well  and  give  him 
plenty  of  cold  water  to  drink,  to  produce  perspiration. 

When  a person  has  this  disease  for  a long  time,  or  is  liable  to  it, 
let  him  take  every  fourth  day  a dose  of  Calcarea  Carbonica  in  the 
evening.  If  not  better  in  a few  weeks,  take  either  Lycopodium, 
Sulphur,  Nitric  Acid,  or  Carbo  Vegetabilis,  in  the  same  manner. 

Administration  of  Remedies, — When  the  dose  is  not  mentioned 
with  the  remedy,  dissolve  twelve  globules  in  twelve  teaspoonfuls 
of  water,  and  give  a dose  every  one,  two  or  three  hours,  according 
to  the  severity  of  the  symptoms. 

Diet.  — No  meat  or  heating  drinks;  but  water,  black  tea,  gruels, 
dry  toast,  baked  apples,  and  stale  bread. 

Erysipelas,  (St.  Anthony’s  Fire.) 

Erysipelas  is  an  inflammation  of  the  skin,  with  a tendency  to 
spread,  and  sometimes  extending  deep  into  the  tissue.  It  may  be 
communicated  from  one  person  to  the  other.  Some  persons  are 
liable  to  it  when  their  digestive  organs  are  out  of  order,  or  when 
.hey  are  exposed  to  damp  or  cold.  It  appears  generally  in  the 
face,  but  frequently  in  the  limbs. 

Symptoms.  — Erysipelas  is  generally  preceded  by  symptoms  of 
fever,  as  general  lassitude,  shivering,  headache,  coated  tongue  ; 
these  symptoms  are  followed  by  hot  skin,  quick  pulse,  thirst,  pains 
in  back  and  limbs  ; the  skin  becomes  red  or  purplish,  and  a severe 
tingling,  burning  sensation,  with  stiffness  and  pain  is  felt.  The 
parts  begin  to  swell,  and  if  the  inflammation  is  in  the  head  or  face, 
the  features  may  become  indistinguishable,  and  the  eyes  be  closed 
from  the  great  amount  of  swelling.  Blisters  filled  with  water  like 
those  from  a scald,  may  form  on  the  surface.  The  mind  wanders 
at  night,  especially  when  the  disease  is  located  in  the  head,  and 
sometimes  the  throat  is  very  much  swollen.  In  the  worst  cases, 
delirium  and  coma  come  on,  and  the  patient  may  die  from  an 
effusion  within  the  head.  When  the  erysipelas  affects  the  tissues 


GENERAL  DISEASES. 


21 


deeply,  matter  may  form,  and  the  parts  slough  or  fall  off.  When 
the  parts  are  deeply  affected,  the  color  is  very  florid,  the  tingling 
and  burning  very  severe,  and  the  surface  firm  and  hard,  it  is  called 
phlegmonous  erysipelas.  When  the  swelling  is  soft  and  spongy  — 
pitting  on  pressure  — the  color  is  pale  red,  or  waxen,  and  usually 
affecting  those  of  feeble  constitution,  it  is  called  cedematous  erysip 
elas. 

When  erysipelas  appears  as  a mere  blush  without  fever,  it  is 
called  erythema. 

Causes . — The  causes  of  erysipelas  are  various,  some  of  which 
are  as  follows  : atmospheric  influences,  irregularity  of  living,  want 
of  cleanliness.  The  exciting  causes  are,  intemperance,  violent 
mental  emotions,  exposure  to  cold  after  being  over  heated  or 
excited,  especially  when  the  stomach  is  out  of  order,  wounds  and 
bruises.  Great  care  must  be  taken  to  prevent  it  spreading,  such 
as  the  free  admission  of  fresh  air,  great  cleanliness,  and  taking  a 
sufficient  amount  of  nourishment.  Persons  suffering  from  wounds, 
or  who  are  diseased  in  any  way,  and  especially  women  about  to  be 
confined,  should  not  be  allowed  to  remain  in  the  vicinity  of  a case 
of  erysipelas,  nor  should  persons  in  attendance  on  a case  visit  any 
one  suffering  from  wounds,  or  in  confinement,  without  great  care 
being  taken  to  guard  against  communicating  the  disease,  by 
changing  the  clothes,  bathing,  etc 

TREATMENT. ECLECTIC  AND  HERBAL. 

Commence  the  treatment,  especially  when  there  is  fever,  with 
the  following  purgative  : 

Podophyllin,  ------  1^  grains. 

Leptandrin,  ------  4 “ 

Cream  of  Tartar,  -----  20  “ 

Mix,  and  divide  into  two  powders  and  give  one  every  six  hours, 
until  the  bowels  are  freely  moved.  After  this  keep  the  bowels 
>pen  with  the  following  : 

Blackroot,  ------  5 ounces. 

Wild  Indigo  Root,  - - - - 1 “ 

Mix,  and  let  the  mixture  steep  in  four  pints  and  a half  of  boiling 
water  ; give  a teaspoonful  several  times  a day.  When  the  symp- 


22 


OUR  FAMILY  PHYSICIAN. 


toms  are  very  severe,  it  is  well  to  commence  the  treatment  with  an 
emetic.  For  the  acid  or  soui  condition  of  the  stomach,  give  Mag- 
nesia, Chalk,  or  Bicarbonate  of  Soda.  When  the  eruption  appears 
over  the  body,  the  vapor  bath  will  be  found  to  give  relief.  If  the 
erysipelas  is  on  the  face  and  head,  steam  the  parts  over  a decoction 
of  Boneset,  Tansy,  or  Catnip,  several  times  a day.  A poultice  of 
Cranberries  is  considered  by  son-o  to  be  specific  in  this  disease. 
Boil  a pint  or  twu  until  they  are  solt,  and  mix  with  them  powdered 
elm  bark,  or  flour,  and  apply  to  the  part  affected.  When  the  in- 
flammation is  very  great,  use  the  following . 

Tincture  of  Chloride  of  Iron,  - - * 1 drachm. 

Sweet  Spirits  of  Nitre,  - - - - 2 “ 

Mix.  Dose  twenty-five  drops  in  a wine-glass  of  an  infusion  of 
one  ounce  each  of  Elder  flowers  and  Maiden  hair,  in  two  pints  of 
boiling  water.  When  blisters  form,  and  ulceration  takes  place, 
apply  poultices  of  elm  bark  and  hop  yeast.  When  the  eruption 
suddenly  disappears,  or  if  there  is  a tendency  for  it  to  do  so,  give 
the  following  : 

Bloodroot,  Pleurisy  root,  Ipecac,  and  Nitre,  each  in  powder,  one 
drachm,  and  give  a dose  of  from  twelve  to  fifteen  grains  every 
three  or  four  hours.  To  allay  the  itching  and  burning,  one  of  the 
following  may  be  used:  Equal  parts  of  tinctures  of  Lobelia  and 

Bloodroot,  to  which  is  added  a little  vinegar  ; apply  three  or  four 
times  a day  ; a decoction  of  Smartweed  and  Mayweed  may  be  used 
cold.  Another : Tincture  of  Lobelia,  Tincture  of  Bayberry  bark, 
saturated  solution  of  Muriate  of  Ammonia,  each,  one  ounce  ; bathe 
the  parts  with  it  several  times  a day.  Also,  burnt  flour,  or  slip- 
pery elm  poultice.  When  the  erysipelas  is  -chronic,  and  breaks 
out  every  few  months,  the  following  treatment  may  be  used  to  get 
it  out  of  the  system  : keep  the  bowels  regular  with  some  good 
cathartic  pill,  or  the  compound  powder  of  Rhubarb  and  Potassa, 
taken  in  doses  of  five  or  ten  grains  three  times  a day  ; at  the  same 
time  take  the  following : Wild  Indigo  root,  Bloodroot,  and  Poke 
root,  each  one  ounce;  Holland  Gin  or  Whiskey,  one  pint;  let  it 
stand  a week,  and  add  two  drachms  of  Hydriodate  of  Potash,  dis 
solved  in  one  ounce  of  water  ; dose,  one  teaspoonful  three  timss 
a day.  The  following  is  also  recommended : Blue  Flag  root, 

Yellow  Dock  root,  Burdock  root,  bark  of  Bittersweet  root,  Sassa- 
fras bark,  each,  coarsely  powdered,  one  ounce  ; Elder  flower,  two 
ounces  ; add  six  pints  of  boiling  water,  cover  the  vessel,  and  let  it 
steep  for  twenty-four  hours  ; press  the  herbs,  strain,  and  sweeten. 
Dose,  a wineglassful  three  times  a day.  Bathing  the  parts  affected 
several  times  a week  in  weak  lye  water  will  also  be  found  benefi- 
cial. 


GENERAL  DISEASES. 


23 


HOMEOPATHIC. 

Aconite . — When  there  is  great  fever,  hot  dry  skin,  thirst,  etc. 

Belladonna.  — An  important  remedy,  especially  for  erysipelas  of 
the  face,  with  swollen  eyes,  dry  skin,  thirst,  and  delirium.  Acon- 
ite and  Belladonna  maybe  given  alternately  (turn  about).  A dose 
every  two  hours.  If  the  symptoms  do  not  improve,  and  the  patient 
complains  of  pain  in  the  throat,  and  dryness,  and  cough  without 
raising,  give  Lachesis.  Apis  Mellifica  may  be  given  in  alternation 
with  it. 

If  after  having  given  these  remedies  for  some  time,  and  the 
patient  still  grows  worse,  and  there  is  great  sensitiveness  to  noise 
and  light,  the  skin  shines,  and  is  very  tender,  and  sometimes  blis- 
ters, give  Belladonna  and  Rhus  Tox,  alternately,  (turn  about)  a 
teaspoonful  every  two  hours.  If  the  patient  is  drowsy,  give  a 
dose  (four  globules)  of  Opium.  If  very  wakeful  and  restless,  give 
Coflea  and  Belladonna,  alternately,  a dose  every  hour.  Arsenic 
may  be  given  when  the  eruption  assumes  a dark  hue,  and  the 
patient  is  very  weak. 

Pulsatilla  — May  be  given  when  the  disease  is  caused  by  some 
article  of  food,  as  oysters,  clams,  etc.  Also  when  the  eruption 
disappears  in  one  place  and  reappears  in  another  ; also  when  it 
affects  the  ear.  For  Erysipelas  appearing  in  the  joints,  Bryonia 
and  Rhus  Tox,  alternately,  (turn  about). 

When  blisters  form  which  become  putrid,  give  Arsenicum  and 
Carbo  Yegetabilis,  alternately. 

Mercurius  and  Hepar  Sulphur  may  be  given  when  the  Erysipelas 
terminates  in  abcesses. 

When  the  disease  is  chronic,  and  the  person  is  liable  to  it  now 
and  then,  give  Rhus  Tox,  and  Graphites,  on  alternate  days  ; a dose, 
(six  globules.) 

The  application  of  water  in  the  form  of  the  wet  sheet,  to  pro- 
duce perspiration,  will  be  found  very  beneficial. 

Administration  of  Remedies. — Dissolve  twelve  globules  in  twelve 
teaspoonfuls  of  water,  and  give  a teaspoonful  every  one,  two  or 
three  hours,  unless  otherwise  specified.' 

Diet.  — Dry  toast,  gruels,  black  tea,  warm  lemonade  if  there  is 
no  diarrhoea,  and  stewed  prunes. 

ALLOPATHIC. 

At  the  commencement  give  a cathartic,  as  Epsom  Salts,  or  the 
following : 

Sulphate  of  Magnesia,  - - - 1 ounce. 

Nitrate  of  Potash,  ....  10  grains. 

Extract  of  Liquorice,  - • 1 scruple. 


24 


OVn  FAMILY  P&YfMCXAH. 


Compound  Infusion  of  Senna,  - * 5-£  ounces. 

Tincture  of  Senna  or  Jalap,  - » 3 drachms. 

Spirit  of  Sal  Volatile,  ....  l drachm. 

Mix.  Dose,  two  or  three  tablespoonfuls.  Unless  the  disease  is 
severe  it  is  not  best  to  use  an  emetic.  The  following  may  be  used 
when  necessary  : 

Tartar  Emetic  grain. 

Ipecacuanha  Powder,  • - • - 1 scruple. 

Syrup, 1 drachm. 

Mint  Water,  - - - * • *10  drachms. 

Mix.  Take  at  one  dose. 

When  the  bowels  have  been  acted  upon,  the  following  may  be 
given  : 

Solution  of  Acetate  of  Ammonia,  * • ounces. 

Sweet  Spirits  of  Nitre,  ...  2 drachms. 

Syrup, 2 

Camphor  Mixture,  ....  4 ounces. 

Mix.  Dose,  two  tablespoonfuls  every  three  or  four  hours. 

When  the  stomach  is  irritable,  give  the  following : 

Bicarbonate  of  Potash,  - - • *2  drachms 

Syrup,  ...  ...  2 “ 

Distilled  Water,  * - - * * 6 ounces. 

Mix.  Dose,  two  tablespoonfuls,  to  each  of  which  add  a tea- 
spoonful of  fresh  lemon  juice,  or  fifteen  grains  of  Citric  acid,  pre- 
viously dissolved  in  a tablespoonful  of  water  ; to  be  drank  while 
effervescing. 

If  the  patient  becomes  feeble,  and  the  case  assumes  a typhoid 
character,  a tonic  as  the  following  may  be  used  : 

Decoction  of  Bark,  ....  6 ounces. 

Sulphate  of  Quinine,  ....  8 grains. 

Dilute  Sulphuric  Acid,  • * ‘ i drachm. 

Compound  Tincture  of  Bark,  - - ounce. 

Syrup  of  Orange  Peel,  ....  2 drachms. 

Mix.  Dose,  two  tablespoonfuls  every  four  hours.  Wine  whey, 
milk  punch,  egg  and  wine,  etc.,  may  also  be  used  with  benefit. 

If  the  disease  is  driven  in  from  any  cause,  the  affected  surface 
must  be  rubbed  with  mustard,  and  the  whole  body  be  immersed  in  a 
hot  bath.  To  allay  the  itching  and  burning  of  the  skin,  apply  one 
of  the  following  : arrow  root  powder ; rye  meal  ; powdered  starch  ; 
a tea  made  of  buckwheat  meal ; linen  moistened  with  the  follow- 
ing: 


0INBBAL  DISEASES. 


26 


Solution  of  Acetate  of  Ammonia,  * 
Spirit  of  Wine,  .... 
Elder  Flower  water,  or  Rose  water, 


4 ounces. 
1 ounce. 

3 ounces. 


The  tincture  of  Iodine  may  be  used  to  prevent  the  inflammation 
spreading,  and  Dr.  Wood  recommends  to  paint  a border  of  about 
two  inches,  one-half  on  the  inflamed  surface,  and  the  other  on  the 
sound  skin ; apply  freely,  and  repeat  daily  if  necessary.  Nitrate 
of  Silver  is  recommended  by  Higgenbottom,  employed  as  follows : 

Nitrate  of  Silver, 2 scruples. 

Nitric  Acid,  - - - - • 12  drops. 

Water, 1 ounce. 

Mix.  Apply  with  a rag  tied  on  a stick,  or  a camel’s  hair  brush. 

Note.  — In  severe  cases  it  is  best  to  call  in  a competent  physi- 
cian. 


This  is  a disease  occurring  generally  in  childhood,  although  it 
sometimes  attacks  grown  persons,  who  are  liable  to  have  it  more 
severely  than  children.  One  attack  will  generally  secure  the 
person  against  another.  It  is  a contagious  disease,  and  requires 
from  seven  to  twenty  days  after  exposure  for  its  appearance. 

Symptoms.  — The  symptoms  at  first  are  very  similar  to  catarrh, 
or  cold  in  the  head.  There  are  chilliness,  thirst,  restlessness,  and 
sometimes  headache,  sneezing,  short  dry  cough,  running  of  the 
nose,  eyes  red  and  watery.  This  is  the  first  stage,  and  generally 
lasts  about  three  days.  On  the  fourth  day  an  eruption  makes  its 
appearance.  This  commences  upon  the  face,  usually  the  forehead, 
and  extends  downward  to  the  neck,  trunk,  and  lower  extremities. 
This  stage  lasts  about  forty-eight  hours,  and  during  this  time  the 
fever  is  very  high.  The  eruption  consists  of  minute  deep  red 
points,  which  very  much  resemble  flea  bites  ; they  are  slightly  ele- 
vated from  the  surface,  and  give  a rough  feeling  when  the  hand  is 
passed  over  the  body.  On  the  seventh  or  eighth  day  after  the  first 
symptoms  of  the  disease,  the  eruption  begins  to  fade  away,  begin 
ning  at  those  parts  where  it  first  appeared.  On  the  ninth  day 


Measles,  (ob  Rubeola.) 


26 


OUR  FAMILY  PHYSICIAN. 


there  remains  nothing  but  a few  yellowish  red  spots.  The  skin 
c-omes  off  in  dry,  small,  bran-like  scales.  Measles  may  be  compli- 
cated with  derangements  of  the  stomach,  inflammation  of  the 
lungs,  and  inflammation  of  the  bowels.  When  the  disease  attacks 
the  lungs  the  eruption  will  disappear  much  sooner  than  it  should  — 
in  thirty-six  or  forty-eight  hours. 

Measles  may  be  mistaken  for  Scarlet  Fever,  but  if  the  symptoms 
are  well  understood  there  need  be  no  mistake.  The  distinguishing 
marks  between  the  two  diseases  are  as  follows : 1st.  Measles  is 
always  preceded  by  catarrhal  symptoms,  as  sneezing,  cough,  run- 
ning from  the  nose,  while  Scarlet  Fever  is  not.  2nd.  The  eruption 
of  Measles  appears  in  spots  resembling  flea  bites,  which  are 
slightly  elevated  from  the  surface,  and  are  in  patches  of  the  shape 
of  a half  moon,  while  the  rash  in  Scarlet  Fever  is 'smooth  to  the 
touch,  spread  over  the  whole  body,  and  of  a bright  scarlet  color. 
The  eruption  in  Measles  is  said  to  resemble  the  tint  of  a raspberry, 
while  that  of  Scarlet  Fever,  that  of  a boiled  lobster.  3d.  Sore 
throat  is  always  found  in  Scarlet  Fever,  in  Measles  seldom  or 
never.  4th.  The  rash  of  Measles  appears  on  the  fourth  day,  that 
of  Scarlet  Fever  on  the  second. 

GENERAL  TREATMENT. 

Measles  generally  requires  but  little  medical  treatment.  The 
patient  should  be  placed  in  a large  well  ventilated  room,  and  it  is 
better  that  he  should  remain  in  bed.  He  should  not  be  given  warm 
drinks  or  emetics,  as  these  only  tend  to  increase  the  fever.  Of  cold 
water  he  may  ha^e  all  he  desires.  The  diet  should  be  light, 
such  as  wheat  or  rice  flour  gruel,  toast  water,  milk  and  water, 
tapioca,  sago,  or  other  light  food.  He  may  be  allowed  a more  lib- 
eral diet  as  the  fever  decreases.  The  eyes  should  be  shaded  from 
the  light. 


ECLECTIC  AND  HERBAL. 

When  the  fever  is  high,  and  the  symptoms  severe,  the  compound 
Tincture  of  Virginia  Snake  Root  may  be  given  in  doses  of  from 
ten  to  sixty  drops  in  warm  catnip  or  balm  tea,  every  two  or  four 
hours.  If  the  eruption  is  long  in  coming  out,  or  recedes  after  it 
has  appeared,  apply  Mustard  poultices  over  the  abdomen,  to  the 


GENERAL  DISEASES. 


27 


feet,  ankles,  and  wrists.  If  the  cough  is  severe  give  the  Com- 
pound Tincture  of  Lobelia,  in  an  infusion  of  slippery  elm,  every 
one  or  two  hours.  If  there  are  symptoms  of  inflammation  of  the 
lungs,  apply  a Mustard  poultice  over  the  whole  chest,  which 
may  be  removed  when  it  has  produced  decided  redness,  and  a poul- 
tice of  Hops  and  Lobelia  leaves  applied,  changing  them  every  half 
hour*  or  hour.  Give  the  Compound  Tincture  of  Lobelia  in  doses 
that  will  cause  nausea.  The  patient  may  be  frequently  sponged 
with  warm  weak  lye  water,  to  allay  the  itching  and  burning.  If 
there  is  diarrhoea  give  an  infusion  of  Blackberry  root,  or  injections 
of  starch  water  with  a few  drops  of  Laudanum. 

ALLOPATHIC. 

For  the  cough  give  flax  seed,  or  slippery  elm  tea.  The  bowels 
may  be  kept  open  by  roasted  apples,  stewed  prunes,  or  the  follow 
ing  mixture  : 

Sulphate  of  Magnesia,  - - - 3 drachms. 

Solution  of  Acetate  of  Ammonia,  - - 1 ounce. 

Wine  of  Ipecac,  - - - - - - ^ drachm 

Sweet  Spirits  of  Nitre,  1 “ 

Syrup  of  Poppies,  - - - ’ - 2 drachms. 

Cinnamon  Water,  .....  l ounce. 

Water  sufficient  to  make  four  ounces.  Mix.  Dose,  a tablespoo^- 
ful  three  or  four  times  a day. 

If  the  eruption  is  kept  back  by  too  great  fever,  give  the  Tinc- 
ture of  Veratrum  Viride,  or  Ipecac,  Hive  Syrup,  or  Lobelia,  in 
doses  sufficient  to  cause  sickness  at  the  stomach,  and  the  Compound 
Tincture  of  Virginia  Snake  Root  in  teaspoonful  doses. 


When  the  cough  is  very  severe  give  the  following  : 

Oxymel  Simple,  ...... 

1 ounce. 

Wine  of  Ipecac,  ..... 

drachm. 

Tincture  of  Squills,  ... 

1 

Water  sufficient  to  make, 

6 ounces. 

Mix.  Dose,  a tablespoonful  four  or  five  times  a 
Or  this: 

day. 

Syrup  of  Tolu, 

1-J-  ounces. 

Mucilage  of  Gum  Arabic, 

H “ 

Wine  of  Ipecac,  ..... 

l drachm. 

Tincture  of  Squills,  .... 

1 “ 

Water  sufficient  to  make,  .... 

6 ounces. 

Mix.  Dose,  a tablespoonful  every  four  hours. 

On  the  third  or 

fourth  day  after  the  eruption  has  disappeared,  give 
the  Compound  Powder  of  Jalap  or  Scammony. 

a small  dose  of 

Ora  FAMILY  PHYSICIAN. 


When  the  patient  is  very  feeble  give  the  following  : 

Sesquicarbonate  of  Ammonia,  * - - drachm. 

Sweet  Spirits  of  Nitre,  ....  2 drachms. 

Tincture  of  Opium,  - • - > - 30  minims. 

Camphor  Mixture,  ....  6 ounces. 

Mix.  Dose,  two  tablespoonfuls  every  three  or  four  hours. 

Or  this  : 

Muriate  of  Ammonia,  - - - • 1 ounce. 

Distilled  Water,  - - - - 9 ounces. 

Mix.  Dose,  one  tablespoonful  every  three  or  four  hours. 

HOMEOPATHIC. 

When  the  attack  is  mild,  Aconite  and  Pulsatilla  given  in  alter- 
nation (dose,  four  globules)  every  two  or  three  hours,  will  generally 
be  all  that  will  be  required.  If  there  is  trouble  with  the  stomach 
give  an  occasional  dose  of  Ipecac  or  Belladonna.  When  the  throat 
is  sore,  dry,  and  painful  during  swallowing  ; thirst  and  spasmodic 
cough  ; also  when  there  is  congestion  of  the  head  with  high  fever, 
restlessness  and  delirium. 

Aconite  and  Bryonia  should  be  given  in  alternation  (twelve 
globules  dissolved  in  twelve  teaspoonfuls  of  water,  and  a teaspoon- 
ful at  a dose)  every  two  or  jree  hours,  when  there  is  violent  dry 
cough,  with  shooting  pains  in  the  chest,  indicating  bronchitis  or 
pneumonia. 

Ipecac  and  Bryonia  in  alternation  every  half  hour  or  hour,  if 
the  eruption  does  not  come  out  well,  or  strikes  in  suddenly,  with 
paleness,  and  sickness  at  the  stomach.  Euphrasia  — when  the 
eyes  are  inflamed  and  watery. 

Rhus  Tox.  should  be  given  in  alternation  with  Bryonia,  when 
there  are  typhoid  symptoms,  as  the  tongue  dry  and  red,  skin  hot 
and  dry,  and  delirium.  If  in  addition  to  these  symptoms  there 
should  be  intense  thirst,  restlessness,  brownish  diarrhoea,  give 
Arsenicum  and  Rhus  in  alternation,  a dose  every  hour  or  two. 

For  running  at  the  ears  with  earache  after  measels  give  Pulsa- 
tilla, Sulphur  or  Mercury.  For  swelling  of  the  glands  of  the  neck 
give  Belladonna,  Mercury,  Rhus,  Arnica.  For  burning  and  itch- 
ing of  the  skin  give  Sulphur,  Arsenicum. 

During  an  epidemic  of  Measles,  it  is  recommended  to  give  a dose 
(four  globules)  of  Pulsatilla  every  night,  which  will  either  pre- 
vent an  attack  or  make  it  much  milder. 

Administration  of  Remedies. — When  the  dose  is  not  mentioned 
with  the  remedy,  dissolve  twelve  globules  in  twelve  teaspoonfuls 
of  water,  and  give  a teaspoonful  every  two  or  three  hours. 

Note.  — ■ If  the  Measles  is  malignant,  showing  symptoms  of  putrid  fever,  such  as  a dark 
livid  rash,  mixed  with  dark  red  spots,  great  debility,  the  eruption  coming  and  going,  a 
competent  physician  should  be  called. 


GENERAL  DISEASES. 


29 


Scarlet  Rash. 

This  is  a different  disease  from  scarlet  fever,  although  sometimes 
mistaken  for  it,  and  also  for  measles.  The  eruption  of  scarlet  rash 
consists  of  minute  grain-like  elevations,  which  can  be  easily  felt 
by  passing  the  hand  over  the  surface,  while  the  eruption  of  scarlet 
fever  is  perfectly  smooth. 

Causes . — Children  of  any  age  are  liable  to  it,  although  it  is 
found  oftener  in  infants.  It  may  be  caused  by  irritation  of  the 
stomach  or  bowels,  by  sudden  changes  in  the  weather,  by  the  sud 
den  suppression  of  perspiration,  by  the  use  of  cold  drinks  when 
the  body  is  heated,  and  by  violent  exercise.  It  is  not  contagious. 

Symptoms.  — The  eruption  is  generally  preceded  by  chilliness, 
alternating  with  heat,  weakness,  heaviness  and  fullness  of  the 
head,  restlessness,  heat  and  dryness  of  the  skin,  loss  of  appetite, 
etc.  These  symptoms  disappear  as  soon  as  the  eruption  shows 
itself,  which  will  generally  be  about  the  third  or  fourth  day. 
Scarlet  rash  may  be  distinguished  from  scarlet  fever  by  the  facts, 
that  in  scarlet  fever  the  eruption  is  of  a bright  red  or  scarlet,  and 
is  spread  uniformly  over  the  surface  ; in  scarlet  rash  the  eruption 
is  much  darker,  being  sometimes  almost  purple,  is  spread  over  the 
body  in  irregular  circular  patches,  and  on  being  pressed  with  the 
finger,  leaves  no  white  imprint.  In  scarlet  fever  we  have  a sore 
throat,  and  in  scarlet  rash  none.  Scarlet  rash  may  be  distin 
guished  from  measles  by  the  fact  that  in  the  latter  we  have  symp- 
toms of  catarrh,  such  as  running  at  the  nose,  eyes,  etc. 

TREATMENT.  HOMEOPATHIC. 

In  ordinary  cases  the  only  remedy  necessary  is  Aconite,  which 
may  be  given  in  alternation  (turn  about)  with  Coffea,  when  there 
are  irritability  and  restlessness. 

If  there  are  nausea  and  vomiting,  give  Ipecac  or  Pulsatilla. 

In  case  the  rash  suddenly  disappears  give  Ipecac  and  Bryonia  in 
alternation  (turn  about)  every  half  hour,  or  hour,  a dose,  at  the 
same  time  covering  the  patient  well. 

If  there  appears  to  be  congestion  of  the  head  with  drowsiness, 


30 


OUR  FAMILY  PHYSICIAN. 


give  Opium.  If  there  be  sudden  startings,  blood-shot  eyes,  and 
fullness  of  the  head,  give  Belladonna. 

Administration  of  Remedies.  — - Dissolve  twelve  globules  in  twelve 
teaspoonfuls  of  water,  and  give  a teaspoonful  every  one,  two,  or 
three  hours,  according  to  the  severity  of  the  symptoms. 

ALLOPATHIC. 

Generally  but  little,  if  any,  treatment  is  required.  In  severe 
cases  confine  the  patient  to  the  house,  put  him  on  spare  diet,  and 
give  the  following  : 

Solution  of  Acetate  of  Ammonia,  - - 1-J-  ounces. 

Sweet  Spirits  of  Nitre,  - - - - 2 drachms. 

Syrup,  - 2 

Camphor  Mixture,  • ....  4 ounces. 

Mix.  Dose,  a teaspoonful  every  three  or  four  hours. 

If  there  is  an  acid  state  of  the  stomach  give  an  occasional  dose 
of  magnesia,  and  if  there  is  much  fever,  the  neutral  mixture. 
Act  on  the  bowels  with  castor  oil,  or  Epsom  salts. 

HYDROPATHIC. 

The  use  of  water  will  be  found  to  be  very  beneficial  in  this 
disease.  Wrap  the  patient  in  a wet  sheet,  and  cover  him  well 
with  blankets.  Let  him  remain  in  this  position  until  he  is  in  a 
free  perspiration,  when  he  should  be  washed  off  with  tepid  water. 
If  the  first  packing  does  not  produce  perspiration,  the  wet  sheet 
should  be  repeated  as  often  as  the  fever  appears.  In  case  the 
eruption  should  suddenly  disappear,  and  the  patient  becomes  weak, 
restless,  and  irritable,  it  is  well  to  sponge  him  all  over  in  cold 
water,  and  wrap  him,  without  being  dried,  in  woolen  blankets,  and 
give  him  plenty  of  cold  water  to  drink.  He  will  by  these  means 
be  thrown  into  a perspiration,  and  the  eruption  will  reappear. 

In  regard  to  diet,  all  rich,  highly  seasoned  and  greasy  food 
should  be  avoided,  and  he  should  be  allowed  only  light  food,  such 
as  wheat  or  rice  flour  gruel,  milk  and  water,  sago,  tapioca,  or  toast 
water. 


Scarlet  Fever,  (Scarletina.) 

This  is  a contagious  fever,  generally  accompanied  by  rash  and 
sore  throat.  There  are  three  varieties  : Scarletina  Simplex,  or 
Simple  Scarlet  Fever  ; Scarletina  Anginosa,  where  both  the  throat 
and  skin  are  involved  ; and  Scarletina  Maligna,  where  the  sore 
throat  is  the  prominent  symptom  sometimes  called  malignant  sore 


GENERAL  DISEASES. 


31 


throat.  These  different  forms,  however,  are  all  derived  from  the 
same  source.  Scarlet  Fever  is  more  prevalent  in  the  spring  and 
fall.  The  only  disease  with  which  it  is  likely  to  be  confounded  is 
Measles,  and  in  the  article  on  Measles  will  be  found  a description 
of  the  difference  between  the  two  diseases. 

The  malignant  sore  throat,  may  be  caught  from  a patient  who 
has  mild  scarlet  fever  ; and  mild  scarlet  fever  may  in  like  manner 
be  contracted  from  one  who  is  laboring  under  malignant  sore 
throat.  These  forms  graduate  insensibly  towards  one  another.  — 
(Watson).  It  often  happens  that  scarlet  fever  in  one  case  is  so 
mild  as  hardly  to  confine  the  patient  to  the  house,  while  in  other 
cases  it  may  prove  fatal  in  a few  days,  or  even  a few  hours. 

Scarletina  Simplex.  — Commences  with  chilly  sensations  and 
shiverings,  hot  skin,  headache,  nausea,  and  a slight  soreness  of  the 
throat.  On  the  second  day  an  eruption  of  fine,  red  points  makes 
its  appearance  — first  on  the  face  and  neck,  and  soon  covers  the 
whole  body.  The  eruption  begins  to  fade  on  the  fourth  or  fifth 
day,  and  generally  disappears  by  the  seventh  or  eighth  day  of  the 
disease.  The  epidermis,  or  scarf  skin,  peels  off  in  large  flakes  from 
the  hands  and  extremities,  and  in  scales  from  the  face  and  body. 

Scarletina  Anginosa.  — The  symptoms  are  much  more  strongly 
marked  in  this  variety  than  in  the  preceding.  The  premonitory,  or 
first  symptoms  continue  longer,  and  the  rash  may  not  show  itself 
until  the  end  of  the  second,  or  not  even  until  the  third  day,  and 
appears  more  in  the  form  of  large  scarlet  patches.  The  chilli- 
ness is  marked,  the  throat  is  very  sore,  and  the  throat  and  tonsils 
are  both  intensely  red  and  swollen.  Swallowing  is  difficult,  as  the 
tonsils  swell  rapidly,  and  almost  block  up  the  entrance  to  the 
throat.  There  is  severe  headache,  the  eyes  are  swollen  and  red, 
and  there  is  stiffness  of  the  neck  and  jaw.  The  heat  of  the  skin 
is  very  great,  the  skin  appearing  to  be  almost  red  hot.  Should  the 
eruption  extend  to  the  stomach,  lungs,  or  brain,  the  symptoms 
become  more  severe,  and  the  case  assumes  a very  grave  aspect. 
If  the  case  terminates  favorably,  the  eruption  begins  to  disappear 
about  the  sixth  or  eighth  day. 


32 


OUR  FAMILY  PHYSICIAN. 


Scarletina  Maligna.  — This  is  a highly  dangerous  disease.  The 
symptoms  are  about  the  same  as  in  the  last  form,  but  soon  assume 
the  appearance  of  typhoid,  producing  great  weakness  and  prostra- 
tion. The  inflammation  of  the  throat  is  very  great  from  the  start, 
and  ulcers  form,  which  may  destroy  the  soft  parts  of  the  throat. 
The  eruption  appears  in  irregular  patches,  sometimes  disappearing 
and  again  appearing.  The  glands  of  the  neck  are  greatly  swollen, 
and  the  nostrils  are  stuffed  and  swollen.  There  is  an  acrid,  burn- 
ing discharge  from  the  nose,  and  throat,  which  excoriates  the  lips 
and  nose.  The  tongue  is  dry,  and  of  a dark  mahogany  color.  The 
pulse  is  weak,  and  the  heat  of  the  skin  is  below  the  standard  of 
health. 

The  appearance  of  the  tongue  in  Scarlet  Fever  is  characteristic. 
At  the  beginning  of  the  disease  it  is  covered  with  a thick  cream- 
like coating,  and  the  edges  are  of  a deep  red  color.  After  the  first 
two  or  three  days  the  tongue  cleans  off,  and  presents  the  appear- 
ance of  a piece  of  raw  flesh.  There  are  certain  diseases  which 
sometimes  follow  an  attack  of  Scarlet  Fever  which  are  almost  as 
dangerous  as  the  Fever  itself.  Among  these  are  inflammation  of 
the  internal  ear,  from  which  there  is  a purulent  discharge,  which 
may  render  the  patient  entirely  deaf ; scrofulous  swelling  of  the 
glands  of  the  neck  ; chronic  inflammation  of  the  eyes.  The  most 
dreaded  result,  however,  is  dropsy,  which  may  affect  the  whole 
body,  or  only  the  head  or  chest.  It  is  generally  caused  by  the 
patient  taking  cold  during  convalescence,  hence  too  much  care 
cannot  be  exercised  when  the  cuticle  is  peeling  off.  This  period 
of  convalescence  is  the  most  dangerous  of  the  whole  disease,  for 
the  parent  thinking  the  child  is  recovering,  relaxes  her  vigilance, 
allows  the  child  to  go  into  a cold  room,  permits  the  fire  to  go  out, 
or  is  guilty  of  other  gross  carelessness.  From  this  exposure  the 
patient  takes  cold,  becomes  drooping,  languid,  feverish  and  rest- 
less. The  skin  is  dry  and  hot,  the  peeling  off  is  arrested,  and 
swelling  makes  its  appearance  in  the  face,  which  soon  extends  to 
the  hands  and  feet,  and  finally  to  the  whole  body.  No  matter  how 
slight  an  attack  of  Scarlet  Fever  may  have  been,  the  patient 


GENERAL  DISEASES. 


33 


should  not  be  allowed  to  leave  his  bed  for  fifteen  days,  nor  his 
room  for  four  weeks  from  the  commencement  of  the  disease.  His 
life  may  depend  on  the  strict  observance  of  this  rule. 

Causes.  — Scarlet  Fever  may  be  propagated  by  contagion,  oi 
prevail  as  an  epidemic.  It  is  recommended  by  Dr.  Hood,  in  his 
work  on  “ Scarlet  Fever,”  to  saturate  cloths  in  chlorine  water, 
and  hang  them  on  chairs  in  the  room  of  a person  sick  of  the  dis- 
ease. This  destroys  the  infusoria,  and  the  danger  of  the  disease 
spreading  is  much  less  than  it  otherwise  would  be. 

GENERAL  TREATMENT. 

The  milder  forms  of  the  disease  require  but  little  treatment. 
Keep  the  patient  in  a well-ventilated  room,  place  him  upon  spare 
diet,  and  sponge  the  surface  of  the  body  occasionally  with  tepid 
water  if  the  heat  of  the  skin  is  great.  Some  physicians  recom- 
mend very  highly,  instead  of  the  sponging  with  tepid  water,  the 
inunction  of  suet.  Dr.  West,  in  his  work  on  “Diseases  of  Chil- 
dren,” speaks  of  having  practiced  this  means  with  great  success. 
It  has  the  effect  to  remove  that  pungent  heat  much  more  effectu- 
ally than  water,  renders  the  skin  supple,  and  does  not  require  to 
be  repeated  more  than  twice  in  twenty-four  hours.  Inunction  is 
performed  as  follows  : Take  suet  or  fat  bacon,  and  rub  the  patient 
with  it  from  head  to  foot  (except  the  face  and  scalp)  morning  and 
evening.  Instead  of  bacon,  Dr.  Meigs,  in  “ Diseases  of  Children,” 
recommends  the  following  ointment: 

Glycerine,  -------  1 drachm. 

Ointment  of  Rose  Water,  - - - 1 ounce. 

This  inunction  should  be  commenced  as  soon  as  the  disease  is 
recognized,  and  continued  during  the  whole  course  of  it.  During 
the  stage  of  convalescence,  or  when  the -skin  is  peeling  off,  apply 
it  in  the  morning,  and  give  the  child  a warm  bath  in  the  evening, 
rubbing  him  well  with  a soft  towel. 

Bandages,  wet  in  cold  water,  should  be  applied  to  the  throat  when 
it  is  very  sore  and  inflamed.  The  bandage  should  be  renewed  every 
few  moments  until  the  throat  symptoms  are  better.  Instead  of 
inunction,  sponging  the  surface  with  a weak  solution  of  saleratus 
or  ley  water,  will  allay  the  irritation.  In  case  the  eruption  should 
disappear  suddenly,  and  it  is  evident  that  it  has  “ struck  in,”  the 
Hydropathic  treatment  recommended  by  Dr.  Mundle  will  be  found 
very  excellent.  It  is  as  follows : “ In  case  the  Scarlet  Fever 
strikes  in  suddenly,  the  patient  is  sponged  off  in  cold  water,  all 

3 


34 


OUR  FAMILY  PHYSICIAN. 


over  ; and  if  spasms  had  ensued,  cold  water  is  dashed  over  him  in 
larger  quantities  until  the  spasmodic  action  ceases;  he  is  then 
wrapped,  without  being  dried  or  rubbed,  in  woolen  blankets,  i! 
possible,  and  as  much  cold  water  given  internally  as  he  can  drink. 
In  most  cases  a general  perspiration  will  ensue,  the  eruption  re 
appear,  and  the  patient  is  saved.” 

To  properly  regulate  the  diet  is  a very  important  part  of  the 
treatment.  Ordinarily  the  patient  will  care  little  for  food  of  anv 
kind,  especially  at  the  height  of  the  fever.  When,  however,  the  pa- 
tient desires  something  to  eat,  he  may  be  allowed  rice  flour  or  ar- 
row-root gruel,  tapioca,  farina,  toast  water,  ice  water,  or  flax  seed 
tea.  A very  refreshing  drink  is  made  by  adding  strawberry,  rasp- 
berry, or  other  fruit  syrup,  to  cold  water.  When  the  lips  and 
teeth  become  covered  with  scabs  or  crusts,  they  may  be  removed 
with  warm  milk  and  water.  As  he  grows  better,  and  convales- 
cence progresses,  he  may  be  allowed  gruels,  milk  toast,  and  very 
light  broths.  If  digestion  is  good  he  may  be  permitted  to  have 
soups,  tender,  digestable  meat,  etc.  Too  great  care,  however,  can- 
rot  be  exercised  in  attending  to  the  diet.  Because  the  patient 
loudly  complains  that  he  is  not  allowed  sufficient  to  eat,  do  not 
yield  to  his  entreaties. 

It  is  of  the  utmost  importance  that  he  should  not  be  allowed  to 
go  out  too  soon,  or  be  exposed  in  any  way.  It  is  better  that  flan- 
nels should  be  worn  next  the  skin,  for  a long  time  after  the  attack. 

As  a preventive  to  Scarlet  Fever,  Belladonna  is  recommended 
by  physicians  of  all  schools.  Its  virtues  were  first  made  known  by 
Hahnemann,  the  founder  of  the  Homeopathic  School  of  Medicine. 
There  is  no  doubt,  but  that  it  has  the  power  to  either  prevent,  or 
very  much  modify  an  attack.  The  best  form  in  which  to  take  it 
is  the  homeopathic  globule,  of  which  take  four,  once  a day,  for  sev- 
eral weeks,  or  so  long  as  you  may  be  exposed  to  the  disease.  If 
this  form  cannot  be  procured,  take  a drop  of  the  tincture  every 
other  day.  If  it  does  not  altogether  prevent  an  attack,  it  will  cer- 
tainly make  it  much  milder. 

HOMEOPATHIC.. 

In  the  treatment  of  this  disease  the  remedy  of  the  greatest  im- 
portance is  Belladonna.  It  is  to  be  given  in  all  forms,  and  stages 
of  the  disease,  and  in  the  simple  form  will,  generally,  be  the  only 
one  required.  The  symptoms  calling  for  it  are  ab  follows  : Dry, 
burning  fever  ; quick  pulse,  great  thirst,  dry,  red,  or  whitish-coated 
longue  ; throat  and  tonsils,  dry,  inflamed  and  swollen  ; difficulty  of 
< wallowing  ; beating  of  the  arteries  of  the  neck  ; face  hot,  red,  and 
floated  ; dizziness,  fullness,  and  pressure  in  the  head,  with  shoot- 
ing pains,  which  are  aggravated  by  motion  ; loss  of  appetite,  and 


GENERAL  DISEASES. 


35 


nausea  and  vomiting  ; violent  cough  ; dry,  burning  heat  of  skin  ; 
starting  from  sleep  ; great  agitation,  and  tossing  about ; scarlet 
eruption  on  the  face,  and  over  the  whole  body.  In  severe  cases 
the  Belladonna  may  be  given  as  offren  as  once  an  hour,  until  the 
symptoms  are  better.  In  mild  cases,  a dose  may  be  given  ever} 
two  or  three  hours. 

If  the  fever  is  high,  pulse  rapid,  and  full,  dry  heat,  head  hot, 
great  agitation,  give  Aconite  in  alternation  (turn  about)  with  Bel- 
ladonna every  hour.  When  the  patient  is  better  under  this  treat- 
ment during  the  day,  but  the  symptoms  increase  at  night  with 
restlessness  and  sleeplessness,  give  Coffee  and  Belladonna,  every 
hour  alternately  (turn  about)  until  the  patient  is  composed. 

When  there  is  great  drowsiness  and  tossing  about,  tongue  very 
dry,  swelling  of  the  glands  of  the  neck,  skin  shining  on  the  face, 
head  thrown  back,  and  almost  constant  delirium,  give  Rhus  Tox. 
and  Belladonna  every  hour  alternately. 

Mercurius  may  be  given  in  alternation  every  hour,  with  Bella- 
donna, when  there  are  ulceration  of  the  tonsils,  swelling  of  the 
glands  of  the  neck,  great  quantity  of  saliva  running  from  the 
mouth,  and  offensive  breath.  If  no  improvement  takes  place  in 
twelve  hours,  give  Nitric  Acid  the  same  as  Mercury.  If,  however, 
the  symptoms  continue  to  grow  worse,  after  having  given  the 
Nitric  Acid  six  or  eight  hours,  and  the  discharge  from  the  mouth 
is  very  offensive,  give  Arsenic  and  Lachesis,  alternately  every  hour, 
a dose  until  the  patient  is  better.  Opium  may  be  given  when  the 
breathing  resembles  snoring  ; Starting  or  constant  delirium  ; face 
puffed  and  red  ; burning  heat  of  skin,  with  or  without  perspiration. 

When  the  eruption  strikes  in,  or  the  skin  assumes  a livid  bluish 
hue,  give  Bryonia  and  Belladonna  in  alternation  (turn  about)  everv 
half  hour.  If  these  afford  no  relief  give  Ipecac  or  Camphor. 

Sulphur  is  a valuable  remedy,  and  should  be  given  (an  occasional 
dose)  when  the  skin  begins  to  peel  off.  When  the  symptoms 
calling  for  Belladonna  do  not  yield  promptly  to  that  remedy,  give 
an  occasional  dose  of  Sulphur. 

If  symptoms  of  croup  appear,  give  Aconite  and  Hepar  Suiphui,  a 
dose  every  hour,  alternately. 

For  Earache,  after  Scarlet  Fever,  give  Pulsatilla,  a dose  every 
one  or  two  hours,  according  to  the  severity  of  the  symptoms.  If 
this  affords  no  relief,  give  Belladonna  and  Iiepar  Sulphur  in  alter- 
nation. 

For  running  from  the  ears,  (otorrhcea)  give  Pulsatilla,  a dose 
every  six  hours,  for  three  or  four  days  ; when,  if  not  better,  give 
Calcarea,  or  Silicea,  in  the  same  manner.  If  after  the  disease  the 
child  shows  symptoms  of  dropsy  of  the  brain  (head  hot,  extremities 
cold,  sleeps  with  eyes  half  open,  vomits  on  moving),  give  Bryonia 


36 


OUR  FAMILY  PHYSICIAN. 


and  Hellebore,  alternately  (turn  about)  every  two  hours,  until  the 
symptoms  are  better. 

When  the  whole  body  swells  give  Belladonna  and  Hellebore,  al 
ternately  every  two  hours,  and  afterwards  Bryonia,  Rhus,  or  Apis 
Mellifica. 

When,  before  the  eruption  comes  out,  there  are  convulsions, 
give  Belladonna  and  Cuprum  in  alternation,  a dose  every  fifteen  or 
twenty  minutes. 

Administration  of  Remedies . — Of  the  remedy  chosen  dissolve 
twelve  globules  in  twelve  teaspoonfuls  of  water,  and  give  one  tea- 
spoonful at  a dose,  every  half  hour,  hour,  or  two  hours,  according 
to  the  severity  of  the  symptoms. 

ALLOPATHIC. 

In  mild  cases,  confinement  to  the  house  in  cool  fresh  air,  taking 
diluent  drinks,  as  flax  seed  tea,  and  a light  diet,  with  the  following 
mixture  will  be  all  that  is  necessary  : 

Sulphate  of  Magnesia,  1^  ounces. 

Compound  Infusion  of  Roses,  - - - 5 “ 

Cinnamon  Water, 1 ounce. 

Mix.  Dose,  two  tablespoonfuls  every  three  hours. 

When  there  is  difficulty  in  swallowing,  throat  and  tonsils  are  in- 
flamed and  swollen,  pulse  full  and  bounding,  skin  hot  and  dry,  giv^ 


an  emetic  of  the  following  : 

Pulverized  Ipecac, 

- 10 

grains. 

Sulphate  of  Zinc, 

5 

u 

Simple  Syrup, 

- 2 

drachms 

Water,  .... 

1 

ounce. 

Follow  this  with  warm  water  until  free  vomiting  is  produced. 
This  prescription  may  be  given  to  a child  of  six  years  or  over.  Dr. 
Rush  recommends  that  the  emetic  be  combined  with  a cathartic, 
as  follows  : To  five  grains  of  Calomel,  add  one  of  Tartarized  Anti- 
mony, or  five  of  pulverized  Ipecac.  Emetics  should  always  be 
employ?!  during  the  disease,  whenever  the  symptoms  grow  worse, 
or  there  is  sickness  of  the  stomach.  To  promote  the  action  of  the 
skin,  the  following  will  be  found  good  : 

Sweet  Spirits  of  Nitre,  - - - - - ^ ounce. 

Tincture  of  Veratrum  Yiride,  20  drops. 

Pulverized  Gum  Arabic,  - - * - 1 scruple. 

Soft  AYater,  ------  2 ounces. 

Mix.  Dose,  a teaspoonful  every  half  hour.  Muriatic  Acid  is  a 
good  remedy.  Put  forty-five  drops  in  a tumbler  of  sweetened 
water,  and  give  a teaspoonful  every  half  hour  or  so 


GENERAL  DISEASES. 


37 


As  a gargle  for  the  throat,  use  a solution  of  chloride  of  lime, 
one  ounce  to  the  pint. 

If  the  child  is  too  young  to  gargle,  swab  out  the  throat  with  a 
rag  tied  on  a stick.  Use  about  twice  a day.  It  will  do  no  harm 
if  the  child  should  happen  to  swallow  a little  of  it.  It  is  also  a 
good  plan  to  sponge  the  child  night  and  morning  with  the  same 
solution.  Another  excellent  gargle  is  as  follows  : 

Compound  Infusion  of  Roses,  - - * pint. 

Dilute  Muriatic  Acid,  A drachm. 

Mix. 

When  the  symptoms  are  as  in  the  second  form,  give  the 
following : 

Citric  Acid, 1 drachm. 

Bicarbonate  of  Potash,  ....  4 scruples. 

Nitre, 2 “ 

Cinnamon  Water,  .....  2 ounces. 

Water,  - .....  4 ^ 

Mix.  Dose,  two  tablespoonfuls  every  four  hours.  When 
there  is  considerable  weakness,  the  following  may  be  given  alter- 
nately (turn  about)  with  the  above,  every  four  hours  : 

Solution  of  Acetate  of  Ammonia,  - - 2 ounces. 

Carbonate  of  Ammonia,  3 scruples. 

Simple  Syrup,  - - • - • * ^ ounce. 

Water  sufficient  to  make  half  a pint.  Take  a tablespoonful  at 
a dose. 

As  a disinfecting  agent  and  a drink,  the  following  may  be  used  : 
Put  twenty  grains  of  chloride  of  potash  in  a quart  bottle,  and  add 
one  drachm  of  hydrochloric  acid,  and  cork  tightly.  Let  the 
mixture  stand  about  half  an  hour,  and  then  add  gradually  one 
quart  of  water.  Shake  the  mixture  well  at  each  addition  of -the 
water,  to  make  the  water  absorb  the  gas.  Add  three  ounces  of 
syrup  of  orange  peel.  This  may  be  drank  by  the  patient  as  often 
as  he  desires. 

In*  the  malignant  form  of  Scarlet  Fever,  when  there  is  great 
prostration  ; the  eruption  strikes  in,  and  the  skin  assumes  a purple 
or  mahogany  color  ; the  tongue  is  deep  red,  or  dark  brown,  and  the 
ulcers  in  the  throat  become  putrid,  the  treatment  must  be  tonic. 
Administer  an  emetic,  and  if  the  bowels  are  costive,  a cathartic,  as 


Castor  Oil.  Then  give  the  following  : 

Sulphate  of  Quinine,  - - - - - 18  grains. 

Tincture  of  Orange  Peel,  ...  1 ounce. 

Dilute  Sulphuric  Acid,  ....  l drachm. 

Syrup  of  Orange  Peel,  ....  2 ounces. 

Water,  -------  2 “ 


Mix.  Dose,  two  teaspoonfuls  in  a wine  glass  of  water  three 
times  a day,  to  a child  six  vears  old. 


38 


OUR  FAMILY  PHYSICIAN. 


The  following  will  also  be  good  : 

Aromatic  Spirits  of  Ammonia,  • * 2 drachms. 

Ether,  -------  1 “ 

Spirits  of  Camphor,  ....  1 “ 

Laudanum,  ------  20  drops 

Mix.  Dose,  a teaspoonful  every  three  or  four  hours,  or  oftener 
if  required. 

The  following  gargle  may  be  used  : 

Chlorate  of  Potash,  . ....  ^ ounce 

Strong  Hydrochloric  Acid,  40  drops. 

Water, 1 pint. 

Mix. 

Wine  whey,  or  Madaira  wine  with  milk,  may  sometimes  be  used. 

For  the  dropsy  which  sometimes  follows  an  attack  of  Scarlet 
Fever,  give  a tepid  bath  every  day,  and  the  Compound  Tincture  of 
Virginia  Snake  Root,  in  doses  of  a teaspoonful  every  two  hours,  in 
catnip  or  balm  tea,  until  free  perspiration  is  induced,  then  lengthen 
the  intervals. 

The  following  mixture  is  recommended  by  Condie  (Diseases  of 
Children)  : 

Calomel,  - - - * - - 12  grains. 

Nitrate  of  Potash,  .....  l drachm. 

Digitalis,  ......  4 grains. 

Mix,  and  make  into  twelve  powders,  and  give  a powder  every 
two,  three  or  four  hours. 

When  there  is  pain  in  the  ears,  and  other  indications  of  inflam- 


mation, Condie  recommends  the  following  : 

Prepared  Chalk,  -----  36  grains. 

Calomel,  -------  12  “ 

Ipecac,  ......  4 u 

Extract  Hyosciamus,  • - - - - 6 “ 


Make  into  twelve  powders  and  take  one  every  night  at  bedtime  , 
and  during  the  day,  some  mild  aperient,  as  Sulphate  of  Magnesia. 
If  there  is  a discharge  from  the  ears,  syringe  them  out,  frequently, 
with  tepid  barley  water.  If  the  discharge  is  dark  colored  and  of- 
fensive, use  a weak  solution  of  Chloride  of  Soda,  or  a decoction  of 
black  oak  bark 


ECLECTIC  AND  HERBAL. 

In  mild  attacks  but  little  treatment  is  required.  Give,  during 
the  cold  stage,  warm  drinks  of  Catnip,  Pennyroyal,  Sage,  or  Saf- 


GENERAL  DISEASES. 


39 


fron  teas.  If  the  stomach  is  irritable,  and  the  vomiting  is  frequent, 
give  Soda  Water,  or  Spearmint  tea.  Sometimes  a mustard  plaster 
applied  over  the  stomach  will  relieve  the  vomiting.  The  follow- 
ing treatment  is  highly  recommended  as  being  very  successful  : On 
the  first  appearance  of  the  symptoms,  generally  sore  throat,  give 
to  a grown  person  from  sixty  to  eighty  grains  of  Jalap.  The  dose 
must  be  reduced  according  to  the  age  of  the  patient.  At  night, 
give  from  a teacupful  to  a pint  of  strong  red  pepper  tea,  according 
to  the  age  of  the  patient,  and  the  violence  of  the  symptoms  ; the 
next  day  give  about  half  the  quantity  of  Jalap,  as  the  day  before, 
and  the  pepper  tea  again  at  night.  On  the  third  day,  if  there  is 
any  soreness  of  the  throat  remaining,  give  a dose  of  Salts,  which 
will  generally  effect  a cure. 

It  is  well,  as  a general  rule,  to  commence  the  treatment  with  an 
emetic  of  the  Compound  Powder  of  Lobelia,  or  for  very  young 
children,  the  Compound  Tincture  of  Lobelia.  Of  the  Powder,  take 
half  a teaspoonful  in  warm  water  every  twenty  minutes  until  vom- 
iting is  produced.  Of  the  Tincture  give  half  a teaspoonful  in  mo- 
lasses and  water,  every  fifteen  minutes,  until  it  operates.  This 
emetic  may  be  used  for  three  or  four  days  in  succession,  so  long  as 
the  fever  remains  severe.  Prof.  John  King  recommends  as  a means 
to  moderate  the  fever,  one  fluid  drachm  of  the  Tincture  of  Gelsemi- 
num,  mixed  with  six  drops  of  Tincture  of  Aconite.  Give  six  or 
eight  drops  in  a teaspoonful  of  water  every  hour,  until  the  relaxing 
symptoms  of  the  medicine  appear. 

The  following  is  a useful  gargle  : 

Chlorate  of  Potash,  ....  £ drachm. 

Muriate  of  Ammonia,  “ 

Glyeerine/  ......  1 ounce. 

Water,  - -----  3 ounces. 

Use  every  two  or  three  hours.  If  the  child  is  too  young  to 
swallow,  apply  it  to  the  throat  with  a swab. 

Another  good  gargle  is  to  take  half  a pint  each  of  vinegar  and 
water,  hot,  add  one  teaspoonful  of  Blood  Root,  and  let  it  stand  for 
six  or  eight  hours  before  using. 

Lemon  juice  will  sometimes  be  found  very  useful  for  the  sore 
throat.  Cut  the  lemon  in  two,  fill  one  half  of  it  with  powdered 
loaf  sugar,  and  let  the  patient  suck  it  as  long  as  may  be  necessary. 

In  the  malignant  forms,  when  typhoid  symptoms  manifest  them- 
selves, the  following  may  be  used: 

Sulphate  of  Quinine,  ....  1 scruple. 

Elixir  of  Vitriol,  .....  l drachm. 

Tincture  of  Black  Cohosh  Root,  - • 12  drachms. 

“ “ Belladonna,  - - - 1 “ 


40 


OUR  FAMILY  PHYSICIAN. 


First  dissolve  the  Quinine  in  the  Elixir  of  Vitriol,  and  then  add 
the  Tinctures  of  Black  Cohosh  Root  and  Belladonna.  To  a child 
six  years  old  give  five  drops,  and  to  an  adult  fifteen  to  twenty  drops, 
in  a teaspoonful  of  water,  every  hour,  from  midnight  to  12  o’clock 
of  the  following  day. 

When  putrid  symptoms  show  themselves,  the  throat  may  be  gar- 
gled with  equal  parts  of  yeast  and  milk,  sweetened  with  honey,  or 
with  yeast  alone. 

When  the  face  is  much  swollen  and  inflamed,  a valuable  applica- 
tion is  raw  cranberries,  pounded  fine.  These  have  been  used  with 
great  success. 

For  discharges  from  the  ears,  use  an  injection  of  an  infusion  of 
Golden  Seal,  or  if  the  discharge  is  putrid,  a weak  solution  of  the 
Chloride  of  Soda. 

For  the  dropsy  sometimes  following  an  attack  of  Scarlet  Fever, 
the  treatment  of  Prof.  John  King  may  be  used,  as  follows : 

Nitre,  - - - - - - - 10  grains. 

Cream  of  Tartar,  - - - - - - 20  “ 

Infusion  of  Parsley  Root,  12  ounces. 

Mix.  Dose,  for  a child  from  five  to  eight  years  of  age,  a table- 
spoonful every  hour.  Continue  its  use  until  the  swelling  lias  dis- 
appeared, and  there  is  a free  discharge  of  urine,  when  give  freely 
of  an  infusion  of  Parsley  Root,  or  Haircap  Moss.  The  following 
tonic  may  be  used  at  the  same  time  : Take  of  Gentian  Root,  Co- 
lombo Root,  Sweet  Flag  Root,  Golden  Seal  Root,  Cayenne  Pepper, 
of  each,  in  coarse  powder,  a heaping  teaspoonful  ; add  these  to  one 
pint  of  good  Sherry  Wine,  and  after  it  has  stood  for  a few  days, 
take  from  a teaspoonful  to  a wineglassful  three  or  four  times  a day. 

Chicken  Pox,  (Varicella.) 

This  is  a disease  characterized  by  an  eruption  of  numerous  trans- 
parent vesicles,  or  little  bladders.  At  one  time  it  was  considered 
to  be  one  variety  of  small  pox,  but  it  has  been  proven  that  it  is  in 
no  way  related  to  it.  It  is  contagious. 

Symptoms.  — The  eruption  is  preceded  by  chilliness,  flashes  of 
heat,  pains  in  the  head,  thirst  and  restlessness;  generally,  however, 
we  have  but  very  few  premonitory  symptoms.  After  this  the 
eruption  makes  its  appearance,  but  without  that  regularity  which 
marks  small  pox,  appearing  first  either  on  the  face  or  back,  or  any 
other  part  of  the  body,  while  the  eruption  of  small  pox  always  ap- 
pears on  the  face  first.  In  small  pox  we  always  have  a swimming 


GENERAL  DISEASES. 


41 


in  the  head,  and  a severe  backache.  The  pustule  of  chicken  pox 
appears  at  once  in  the  form  of  a bladder,  while  that  of  small  pox, 
in  the  form  of  a point  like  the  head  of  a pin.  The  pustules  oi 
chicken  pox  never  have  a dent  in  the  center  as  do  those  of  small 
pox,  while  the  fluid  contained  in  them  is  clear,  and  does  not  be- 
come yellow  as  in  small  pox  ; about  the  fourth  or  fifth  day  the  pus- 
tules of  chicken  pox  begin  to  dry  away,  and  are  formed  into  scabs, 
and  fall  off,  seldom  or  never  leaving  a scar. 

TREATMENT. ALLOPATHIC. 

Spare  diet,  cooling  drinks,  and  a gentle  aperient,  as  the  follow- 
ing : 

Sulphate  of  Magnesia,  - * - 1 ounce. 

Solution  of  Acetate  of  Ammonia,  * - 3 ounces. 

Distilled  Water, 3 

Mix.  Dose,  a teaspoonful  every  three  or  four  hours. 

If  there  is  considerable  fever,  give  small  doses  of  Antimonial 
powder,  with  the  Acetate  of  Ammonia  and  Nitre  mixture  given 
under  “ Scarlet  Rash,” 

ECLECTIC  AND  HERBAL. 

About  all  that  will  be  necessary,  is  to  give  the  patient  freely  of 
Pennyroyal,  Sage,  Saffron,  or  Catnip  tea.  If  the  bowels  are  con- 
fined, open  them  with  a Seidlitz  powder.  Sponge  the  surface  of 
the  body  with  saleratus  water,  and  confine  him  to  the  house. 

HOMEOPATHIC  - 

For  the  fever  and  headache,  give  Aconite  and  Belladonna,  alter- 
nately, (turn  about). 

If  there  is  aching  of  the  bones,  and  bilious  symptoms,  give 
Bryonia  and  Rhus,  alternately. 

For  restlessness  and  nervous  excitement,  disturbed  sleep,  etc., 
give  Coffea.  If  there  is  a painful  discharge  of  urine  give  Canthar- 
ides,  or  Conium,  or  both  alternately. 

If  the  eruption  is  very  severe,  give  Tartar  Emetic. 

Administration  of  Remedies . — Dissolve  twelve  globules  in  twelve 
teaspoonfuls  of  water,  and  give  a teaspoonful  every  three  or  four 
hours.  If  there  be  fever,  headache,  restlessness,  etc.,  a dose  may 
be  given  every  hour. 


42 


OUR  FAMILY  PHYSICIAN. 


Small  Pox,  (Vakiola.) 

This  is  a very  loathsome  and  offensive  disease,  preceded  by  a 
fever  lasting  three  or  four  days,  followed  by  an  eruption  which  is 
at  its  height  in  about  eight  days.  It  is  very  contagious.  There 
are  two  varieties — the  distinct , where  the  pustules  are  perfectly  sep 
arate  from  each  other,  and  the  confluent , where  they  unite,  or  run 
together.  The  severity  of  the  disease  depends  a great  deal  on  the 
eruption ; the  fewer  the  pustules,  the  milder  the  disease.  The 
disease  has  been  divided  into  four  stages,  which  are  as  follows  : 

Symptoms . — First  or  Febrile  Stage . — This  stage  generally  com 
mences  from  nine  to  fourteen  days  after  exposure.  The  patient 
usually  first  complains  of  a chill,  more  or  less  severe,  which  is 
followed  by  intense  fever,  with  quick  pulse,  coated  tongue,  loss  of 
appetite,  thirst,  often  nausea  and  vomiting,  severe  pains  in  the  head 
and  small  of  the  back , and  general  aching  and  soreness. 

There  is  nothing  at  this  stage  by  which  it  can  be  distinguished 
from  other  fevers,  unless  it  is  the  violent  back  ache.  The  head 
symptoms  are  sometimes  severe.  There  is  great  restlessness  and 
irritability  ; the  light  hurts  the  eyes,  the  head  swims,  the  mind 
wanders,  the  patient  is  flighty,  and  sometimes  there  are  convul- 
sions. 

Second,  or  Eruptive  Stage. — About  the  third  day,  the  eruption 
begins  to  make  its  appearance  in  the  shape  of  small,  bright  red 
specks,  about  the  size  of  pin  heads  ; and  at  this  time  the  fever 
begins  to  subside.  The  eruption  first  appears  on  the  face,  then  on 
the  neck,  breast  and  body,  and  lastly  on  the  arms  and  legs.  This 
stage  lasts  about  three  days,  and  during  this  time,  the  papulae  or 
pimples  gradually  change  to  vesicles,  or  little  bladders,  which  are 
filled  with  a watery  like  fluid.  As  the  eruption  appears  on  the 
skin,  we  may  have  a severe  inflammation  of  the  throat,  with  ten- 
derness and  swelling  of  the  glands  of  the  neck. 

Third , or  Suppurative  Stage.  — The  vesicles  now  increase  in  size, 
and  change  to  the  pustular  form  (containing  matter.)  The  fluid 
becomes  whitish,  and  finally  yellowish,  and  is  contained  in  cells, 


GENERAL  DISEASES. 


43 


like  an  orange.  On  top  is  a little  dent,  and  the  skin  around  the 
pustules  is  red  and  inflamed.  This  change  takes  place  from  the 
fourth  to  the  sixth  day  of  the  eruption.  The  pustules  increase 
in  size,  become  hard  and  distended,  and  as  large  as  a split  bean. 
At  this  stage  the  face  is  very  much  swollen,  and  there  is  a burning 
and  distended  feeling  which  is  very  painful.  There  may  be  sore- 
ness of  the  mouth,  with  salivation.  As  the  eruption  appears  first 
on  the  face,  so  the  pustules  on  the  face  at  this  stage  are  at  their 
height,  while  those  on  the  breast  are  filling,  and  those  on  the  limbs 
are  still  growing ; thus  the  burden  is  divided,  which  otherwise 
would  be  unbearable.  The  pustules  upon  the  face  begin  to  turn 
about  the  eighth  day,  and  those  upon  the  feet  two  or  three  days 
later.  At  this  period  there  is  a peculiar  and  disagreeable  odor 
given  off  from  the  body  of  the  patient,  by  which  a person  familiar 
with  the  disease  can  generally  recognize  it.  It  is  in  this  stage, 
about  the  eighth  or  ninth  day  of  the  disease,  that  there  appears 
what  is  called  the  secondary  fever , which  depends  for  its  severity  on 
the  extent  of  the  disease,  and  the  vital  energies  of  the  patient. 
In  the  distinct  variety,  it  generally  declines  with  the  pustules. 

Fourth , or  Stage  of  Desiccation.  — This  is  the  stage  of  decline. 
About  the  eighth  or  ninth  day  of  the  eruption,  or  the  eleventh  or 
twelfth  of  the  disease,  the  pustules  on  the  face  are  seen  to  become 
brown  and  dryish  on  the  top,  or  some  of  them  burst,  and  the  mat- 
ter oozes  out  and  forms  a crust.  From  this  time  the  process  of 
desiccation  or  drying  up,  goes  rapidly  forward,  the  swelling  of  the 
face  subsides,  and  the  scabs  begin  to  fall  off  the  face  about  the 
fourteenth  or  fifteenth  day  of  the  disease;  It  is  not  until  three  or 
four  days  after  the  scabs  form  on  the  face,  that  they  are  formed  on 
the  ankles  and  wrists.  After  the  crusts  or  scabs  have  fallen  off, 
there  is  left  a peculiar  appearance  of  the  skin  ; it  is  a purplish  red 
stain  which  gradually  fades  away,  or,  in  severe  cases  where  the 
ulceration  has  eaten  through  the  true  skin,  there  is  left  a depres 
sion,  or,  as  it  is  said,  the  patient  is  u pitted  F The  whole  course  of 
the  disease  occupies  from  two  to  three  weeks. 

The  above  description  is  of  a regular  and  favorable  course  of  the 


44 


OUR  FAMILY  PHYSICIAN. 


disease,  when  the  pustules  do  not  run  together.  When,  however, 
the  disease  is  confluent , or  the  pustules  form  one  mass,  the  danger 
and  duration  of  the  disease  are  much  increased.  In  this  form,  the 
fever  is  more  intense,  and  increases  from  the  first  appearance  of 
the  eruption,  to  the  period  of  maturation,  or  the  third  stage.  Con- 
vulsions, delirium  and  stupor  are  more  frequent ; the  eyelids  swell 
so  that  by  the  fifth  day  the  patient  cannot  see  ; the  throat  is  very 
sore,  and  greatly  swollen,  and  the  inflammation  may  extend  the 
whole  length  of  the  windpipe,  and  cause  death  by  suffocation. 
The  fever  does  not  cease  on  the'appearance  of  the  eruption,  but 
continues  to  increase  in  severity,  and  is  attended  with  delirium, 
stupor,  hemorrhages  or  bleedings,  bloody  urine,  dysentery,  or  it 
may  at  once  prove  fatal. 

Cause.  — The  cause  of  this  disease  is  undoubtedly  contagion. 
Any  one,  unless  protected  by  vaccination  or  a previous  attack  of 
small  pox,  is  liable  to  the  disease,  on  exposure.  Vaccination  does 
not  always  protect,  for  a person  may  have  the  varioloid  (the  mild 
form  of  small  pox)  even  after  having  been  vaccinated.  The  time 
which  elapses  from  the  exposure  to  the  disease,  to  the  appearance 
of  the  first  symptoms,  is  from  nine  to  twelve  days. 

GENERAL  TREATMENT. 

The  room  in  which  the  patient  is  confined  should  be  large  and 
airy.  Care  must  be  taken  that  it  be  well  ventilated,  moderately 
cool,  and  dark.  The  clothing  of  the  patient  and  the  bed  linen 
should  be  changed  every  day  or  two.  Wash  the  eyes  frequently 
with  rose  water,  or  slippery  elm  water,  especially  when  the  matter 
flows  into  them  from  the  pustules.  Lotions  of  cold  water,  milk 
and  water,  or  weak  lead  water,  may  be  applied  to  the  face  when 
much  inflamed.  The  nostrils  may  be  kept  open  by  passing  a well 
oiled  camel’s  hair  pencil  into  them  several  times  a day.  If  the 
symptoms  indicate  that  the  small  pox  is  to  be  of  the  confluent 
variety,  the  hair  should  be  cut  short  on  the  first  appearance  of  the 
eruption,  and  in  any  case  it  is  best  that  the  hair  should  be  cut,  for 
as  matter  flows  from  the  pustules,  the  hair  becomes  thickly  matted 
and  forms  a disgusting  mass,  at  the  same  time  it  diminishes  the 
amount  of  eruption  on  the  scalp,  and  the  tendency  to  brain  dis- 
turbances. A great  point  in  the  treatment  of  small  pox  is  to  pre- 
vent the  pitting,  and  for  this  purpose  many  different  means  are 


GENERAL  DISEASES. 


45 


recommended.  A preparation  used  with  great  success  in  the 
“ Children’s  Hospital  of  Paris,”  is  made  by  mixing  together  25 
parts  of  mercurial  ointment,  10  parts  of  yellow  wax,  and  6 parts 
of  black  pitch.  Another  plan  is  to  open  each  pock,  as  soon  as  it 
becomes  vesicular  (bladder  like)  with  a lancet,  and  apply  a stick 
of  nitrate  of  silver  brought  to  a very  fine  point,  or  a very  strong 
solution,  applied  by  means  of  a probe,  or  knitting  needle.  Tinc- 
ture of  Iodine  is  recommended  very  highly,  applied  freely  by 
by  means  of  a camel’s  hair  ~encil,  over  the  whole  affected  surface. 
Dr.  Stokes  of  Dublin  recommends  flax  seed  poultice,  spread  on 
some  soft  material,  and  covered  with  oiled  silk,  or  gutta  percha. 
The  use  of  the  poultice  must  be  continued  from  an  early  period  in 
the  disease,  to  the  period  of  desiccation  or  drying  up.  Probably 
the  most  effective  means  is  that  recommended  by  Dr.  Bennett  of 
Edinburgh.  It  is  a plaster,  made  of  three  parts  of  carbonate  of 
zinc,  and  one  part  of  oxide  of  zinc,  mixed  in  a mortar  with  suf- 
ficient olive  oil  to  make  a thick  paste.  This  must  be  thickly 
spread  on  the  face,  and  renewed  whenever  any  is  rubbed  off. 
Whatever  is  used  must  be  applied  not  later  than  the  third  day  of 
the  eruption. 


ECLECTIC  AND  HEBBAL. 

At  the  commencement  of  the  disease  give  an  emetic  of  the  com- 
pound powder  of  lobelia,  if  to  an  adult,  given  in  doses  of  half  a 
teaspoonful  every  fifteen  minutes,  until  free  vomiting  is  produced  ; 
or  if  in  the  case  of  a child,  the  compound  tincture  of  lobelia, 
given  in  doses  of  from  half  a teaspoonful  to  a teaspoonful,  in 
molasses  and  water,  every  fifteen  minutes.  If  the  fever  symptoms 
are  severe  and  the  patient  is  costive,  give  an  injection  of  tepid 
water,  and  administer  a seidlitz  powder ; the  powder  may  be 
repeated  in  four  or  six  hours,  if  the  first  dose  does  not  operate  well. 
For  the  sickness  at  the  stomach,  give  warm  spearmint  or  pepper 
mint  tea  with  a little  saleratus  dissolved  in  it ; also,  an  infusion  of 
Marshmallow  root,  and  peach  leaves,  and  a mustard  poultice 
applied  over  the  abdomen.  The  body  may  be  frequently  bathed 
with  warm  weak  lye  water  until  the  appearance  of  the  eruption. 
For  the  great  pain  in  the  head  and  back,  apply  mustard  poultices 
to  the  spinal  column,  and  the  ankles  and  soles  of  the  feet,  and 
bathe  the  head  in  vinegar  and  water.  For  the  sore  throat,  and  to 
assist  in  removing  the  phlegm  from  the  throat,  give  the  following  : 

Bloodroot,  ......  i ounce. 

Lobelia  Seed  (pulverized),  - - - - 1 “ 

Ipecac,  ....  2 ounces. 

Cayenne,  ...  | ounce. 

Whiskey,  1 quart. 


46 


OUR  FAMILY  PHYSICIAN. 


Let  them  stand  a week.  Dose,  a teaspoonful  or  two  occasion- 
ally. A good  gargle  is  a decoction  of  Sage  and  Hyssop  with 
Borax  and  Honey.  If  the  primary  'or  secondary  fever  is  very 
severe,  give  fifteen  or  twenty  drops  of  the  tincture  of  Black 
Cohosh,  every  two  or  three  hours. 

After  the  eruption  has  appeared,  the  following  may  be  used  with 
excellent  effect : to  1 pint  of  boiling  water,  add  1 ounce  of  pow- 

dered Black  Cohosh  root,  and  give  one  or  two  tablespoonfuls  every 
three  hours,  warm  ; continue  this  until  the  pustules  begin  to  dry 
up.  When  the  pustules  do  not  fill  well,  and  are  flabby,  give  wine 
whey,  or  milk  punch  freely  ; if  they  disappear  and  strike  in,  give 
teaspoonful  doses  of  the  compound  tincture  of  Virginia  Snakeroot, 
or  the  infusion  of  Black  Cohosh  in  larger  doses.  If  malignant 
symptoms  appear,  and  there  is  a putrid  diarrhoea,  give  a teaspoonful 
of  powdered  charcoal,  and  half  a teaspoonful  of  Nitre,  mixed, 
three  or  four  times  a day  ; also,  equal  parts  of  hop  yeast  and  sweet 
oil,  in  tablespoonful  doses. 

HOMEOPATHIC. 

For  the  first  or  febrile  stage,  the  treatment  is  as  follows  . 

Aconite . — Especially  during  the  chill  and  fever,  and  when  there 
is  severe  pain  in  the  head,  full  pulse,  delirium,  and  intolerance  of 
light.  Belladonna  may  be  given  in  alternation  (turn  about)  with 
it,  especially  for  the  headache  and  delirium. 

For  the  severe  backache,  with  pains  in  the  bones,  and  general 
soreness,  give  Bryonia  and  Rhus-Tox  alternately  (turn  about). 
For  the  nausea,  give  Tartar  Emetic. 

If  the  patient  becomes  insensible,  and  there  is  stupor,  and  snor- 
ing-like  breathing,  give  Opium.  If  there  is  great  restlessness,  irri- 
tability, and  sleeplessness,  give  Coffea  and  Belladonna  in  alterna- 
tion (turn  about). 

Treatment  of  the  Second , or  Eruptive  Stage.  — If  the  delirium  for 
which  Belladonna  was  given  has  not  disappeared,  give  Stramonium, 
especially  if  the  eruption  does  not  come  out  well. 

If,  however,  the  symptoms  of  this  stage  are  not  severe,  give 
Tartar  Emetic,  and  Thuja  in  alternation  (turn  about). 

For  the  hoarse  rattling  cough,  give  Tartar  Emetic  or  Ipecac. 

Treatment  for  the  Third , or  Stage  of  Suppuration.  — If  the  fever  is 
considerable,  and  particularly  if  the  throat  is  sore,  and  the  saliva 
is  abundant,  give  Mercurius. 

When  the  skin  between  the  pustules  becomes  livid,  or  dark 
brown,  and  the  pustules  flabby,  give  Arsenicum.  If  the  pustules 
become  black,  and  the  patient  is  very  weak,  showing  typhoid  symp- 


GENERAL  DISEASES. 


47 


coins,  give  Rhus-Tox,  in  alternation  with  Arsenicum.  Muriatic 
Hcid  is  also  good  for  the  same  symptoms. 

If  there  is  diarrhoea,  give  China  in  alternation  with  the  Arseni- 
eum. 

Treatment  of  the  Fourth , or  Stage  of  Desiccation. — At  the  begin- 
ning -of  this  stage,  give  a dose  of  sulphur  every  night.  If  the 
diarrhoea  still  continues,  give  Mercury,  every  three  or  four  hours. 

Administration  of  Remedies.  — Dissolve  twelve  globules  in  twelve 
teaspoonfuls  of  water,  and  give  a teaspoonful  every  one,  two,  or 
three  hours,  according  to  urgency  of  the  symptoms. 

ALLOPATHIC. 

For  the  fever  preceding  the  eruption,  give  the  following  emetic  : 


Tartar  Emetic,  - 

1 

grain. 

Ipecac  Powder,  .... 

- 1 

scruple. 

Syrup, 

1 

drachm. 

Mint  Water,  ..... 

Mix.  Give  at  one  dose. 

- 10 

drachms. 

After  giving  the  emetic,  give  the  following 

purgative  : 

Sulphate  of  Magnesia, 

. 1 

ounce. 

Nitrate  of  Potash,  ..... 

10 

grains. 

Extract  of  Liquorice, 

- 1 

scruple. 

Compound  Infusion  of  Senna, 

H 

ounces. 

Tincture  of  Senna  or  Jalap, 

- 3 

drachms. 

Spirit  of  Sal  Volatile,  - 

Mix.  Dose,  two  or  three  tablespoonfuls. 

1 

drachm. 

The  fever  may  be  controlled  by  the  following  saline  aperient: 

Rochelle  Salt  or  Tartar  of  Potash,  - 1 ounce. 

Carbonate  of  Magnesia,  - - 1 drachm. 

Peppermint  Water,  6 ounces. 

Mix.  Dose,  one  tablespoonful  every  three  or  four  hours.  This 
will  also  keep  the  bowels  moderately  open. 

After  the  eruption  is  fully  developed,  and  the  secondary  fever 
appears,  give  the  following: 

Spirits  of  Mindererus,  - - - 2 ounces. 

Sweet  Spirits  of  Nitre,  1 ounce. 

Mix.  Dose,  one  teaspoonful  every  three  hours. 

Keep  the  bowels  open  with  the  following: 

Calcined  Magnesia,  1 drachm. 

Water,  .......  2 ounces. 

Mix.  Take  at  one  dose,  and  repeat  as  often  as  necessary. 


48 


OUR  FAMILY  PHYSICIAN. 


If  the  patient  is  harassed  with  a cough,  especially  at  night,  the 
following  may  be  given,  recommended  by  Dr.  Condie  : 

Mucilage  of  Gum  Acacia,  3 ounces. 

Syrup  of  Squills, 1 drachm. 

Spirits  of  Nitric  Ether,  3 drachms. 

Wine  of  Ipecac,  * - • - * 1 drachm'. 

Camphorated  Tincture  of  Opium,  1 “ 

Mix.  Dose,  a teaspoonful  every  two  or  three  hours. 

If  the  symptoms,  such  as  pain  in  the  head,  flushing  of  the  face, 
and  delirium,  indicate  trouble  in  the  brain,  blood  must  be  drawn 
from  the  arm,  leeches  applied  to  the  temples  and  back  of  the  neck, 
and  the  feet  put  into  a mustard  bath  ; at  the  same  time  give  a 
cathartic,  as  calomel  and  jalap,  or  an  infusion  of  Senna. 

When  the  eruption  does  not  come  out  freely,  and  the  patient 
complains  of  great  irritability  of  the  stomach  with  frequent  vomit- 
ing, and  oppression  of  the  chest,  put  him  in  a warm  bath,  or  put 
bottles  of  hot  water  at  his  feet,  and  cloths  wrung  out  of  warm 
water  over  his  stomach. 

For  the  sore  throat  the  following  may  be  used  as  gargles  : 

Chlorate  of  Potash,  £ ounce. 

Strong  Hydrochloric  Acid,  - - - 40  drops. 

Water,  - 1 pint. 

Mix.  Use  several  times  a day. 

Or, 

Compound  Infusion  of  Roses,  - - ^ pint. 

Dilute  Muriatic  Acid,  ....  ^ drachm. 

Mix. 

If  there  is  diarrhoea,  it  may  be  checked  with  the  following  : 

Chalk  Mixture,  5^  ounces. 

Compound  Tincture  of  Cardamons,  - 3 drachms. 

Tincture  of  Catechu,  3 “ 

Laudanum,  ......  20  minims. 

Mix.  Dose,  two  or  three  tablespoonfuls  every  four  hours. 

The  diet  in  small  pox  may  consist  of  water,  ice  cream,  lemonade, 
oranges,  roasted  apples,  stewed  prunes,  strawberries,  gruels,  dry 
toast,  etc.  The  fruits  and  ice  cream  should  not  be  allowed  if 
there  is  diarrhoea.  Animal  food  should  not  be  used  until  the 
patient  is  fully  recovered  in  every  respect. 

As  a preventive  against  this  disease,  vaccination  must  be  em- 
ployed. It  is  a duty  which  every  person  owes  to  himself,  and  to 
his  family,  and  friends.  It  is  the  only  safeguard  against  this  terri- 
ble and  loathsome  disease.  It  is  well  when  the  first  symptoms  of 


GENERAL  DISEASES. 


49 


small  pox  appear,  for  the  per&^ii  to  be  vaccinated,  for  it  may  very 
much  modify  the  attack. 

Note  —In  this  disease  (Small  Pox)  it  is  best  to  call  in  a compe 
tent  physician,  especially  if  it  is  of  the  confluent  form. 

Varioloid. 

This  disease  is  only  a mild  form  of  small  pox,  and  the  treatment 
for  both  is  the  same.  A person  who  has  been  vaccinated  may  take 
the  varioloid,  but  it  will  be  very  mild. 

II.  — Chronic  Eruptions. 


Irritation  of  the  Skin,  (Itching  — Prubitis.) 

This  is  an  eruption  of  a fine  rash  under  the  skin,  and  colorless. 
It  produces  a very  disagreeable  and  distressing  itching,  which  is 
sometimes  almost  unbearable.  The  severer  form  is  accompanied  by 
a sensation  of  creeping  ants,  or  the  stinging  of  insects.  It  lasts 
sometimes  for  months  and  years,  and  is  generally  caused  by  expos- 
ure to  extremes  of  heat  and  cold,  some  particular  kinds  of  food,  etc. 

GENERAL  TREATMENT. 

Wash  well,  every  evening  before  going  to  bed,  with  water  and 
castile  soap,  and  allow  it  to  dry  in.  Brandy  cr  alcohol,  may  be 
used  in  the  same  manner.  An  ounce  of  lemon  juice  in  a pint  of 
water,  or  vinegar  used  in  the  same  proportion,  will  be  found  useful ; 
also,  water  and  spirits  of  camphor.  The  diet  should  be  carefully 
regulated,  and  all  stimulants  avoided. 

HOMEOPATHIC. 

Pulsatilla.  — If  the  itching  is  worse  in  bed,  or  when  near  a fire, 
particularly  after  scratching.  A dose  (six  globules)  every  night 
and  morning. 

Ledum  Palustre. — If  the  itching  commences  after  going  to  bed. 
and  shifts  from  one  part  to  another,  and  the  eruption  resembles’ 
Ilea  bites.  Give  in  the  same  manner  as  Puisatilla. 

Mercurius,  — When  the  itching  continues  dur  ng  the  whole  night, 

4 


50 


OUR  FAMILY  PHYSICIAN. 


and  bleeds  easily  after  scratching.  It  is  well  to  give  this  remedy 
and  Causticum  on  alternate  evenings. 

If  there  is  great  burning  with  the  itching,  give  Bryonia  and 
Rhus,  alternately  (turn  about)  every  four  hours,  a dose,  (six  glo- 
bules).  Give  these  remedies  for  two  days,  and  then  Hepar  Sul- 
phur, a dose  morning  and  evening.  If  not  better  in  a week,  take 
Carbo  Yegetabilis,  a dose  morning  and  evening. 

Nux  Vomica  and  Arsenic  in  alternation,  will  sometimes  benefit. 

When  it  occurs  in  old  people,  give  Opium  and  Secale,  a dose 
(six  globules),  on  alternate  evenings. 

When  it  is  caused  by  the  heat  of  summer,  give  Lachesis  and 
Lycopodium  on  alternate  evenings. 

Silicea  and  Sulphur  are  good  for  obstinate  cases.  Other  reme- 
dies are  Thuja,  Graphites,  Petrolum,  Calcarea  Carbonica,  Sepia, 
Conium. 

ALLOPATHIC. 


Erasmus  Wilson  recommends  the  following: 


Dilute  Pyroligneous  Acid, 

- ^ ounce. 

Camphor  in  Powder,  ♦ 

\ drachm. 

Rose  Water,  - 

• 1 pint. 

Mix. 

The  following  will  also  be  found  good : 

Carbonate  of  Soda,  .... 

1 drachm. 

Hydrocyanic  Acid,- 

• i “ 

Distilled  Water,  - 

8 ouncos. 

Mix. 


Two  drachms  of  the  Sulphate  of  Potash  to  a pint  of  water  may 
also  be  tried. 

In  obstinate  cases  the  following  may  be  used : 

Corrosive  Sublimate,  ....  2 grains. 

Hydrochlorate  of  Ammonia,  - 2 “ 

Rose  Water  and  Almond  mixture,  of  each,  4 ounces. 

Hydrocyanic  Acid,  drachm. 

Mix.  This  should  not  be  used  on  children,  and  being  poisonous, 
should  be  kept  out  of  the  way. 

Chilblains. 

Chilblains  are  troublesome  inflammatory  swellings,  which  appear 
generally  on  the  heels  and  feet,  and  are  caused  by  exposure  to 
cold.  They  are  red  or  purple,  and  cause  great  discomfort  by  the 
intense  itching,  ti  giing  and  smarting.  Whenever  a part  of  the 


GENERAL  DISEASES. 


51 


body  is  frost-bitten,  even  slightly,  it  must  be  brought  back  to  its 
natural  state  of  warmth,  very  slowly,  and  gradually,  and  in  this 
way  chilblains  may  to  a great  extent  be  avoided. 

TREATMENT. 

When  they  first  appear,  one  of  the  following  may  be  used : 


Compound  Camphor  Liniment, 

6 drachma. 

Soap  Liniment,  .... 

- 6 “ 

Tincture  of  Cantharides, 

Mix.  Apply  morning  and  evening. 

£ ounce. 

Collodion,  ..... 

1 ounce. 

Venice  Turpentine, 

• i . “ 

Castor  Oil,  ..... 

2 drachms. 

Mix.  Apply  morning  and  evening. 

Sometimes  powdered  starch  rubbed  on  the  affected  part  by  the 
hand,  will  allay  the  intolerable  itching.  Petroleum,  or  coal  oil,  is 
an  excellent  application.  Saturate  a cloth  with  it,  and  bind  it  on 
the  affected  part.  In  obstinate  forms  of  the  disease,  the  following 
is  recommended : 

Olive  Oil,  ......  5 ounces. 

Venice  Turpentine,  - ■ - - 1 ounce. 

Yellow  Wax,  “ 

Alkane t Root,  - - - - 2 drachms. 

Mix.  Roil  them  together,  and  strain  ; then  take 

Balsam  of  Peru,  -----  1 drachm. 

Camphor,  ......  5 grains. 

Mix  these,  add  them  to  the  warm  mixture,  and  stir  constantly 
until  cool.  Spread  this  balm  on  cloths  and  apply  it  to  the  chil- 
blains. 

Chilblains  may  be  prevented  from  breaking,  by  covering  them 
with  the  common  soap  plaster.  * 

When  the  inflammation  and  swelling  are  considerable,  and  blis- 
ters are  formed,  the  following,  called  Devergier’s  Ointment,  will 
be  beneficial . 

Lard,  - - - - - 1 ounce. 

Acetate  of  Lead,  ...  5 grains. 

Extract  of  Opium,  * - - - 3 “ 

Creosote, 10  “ 

Mix.  Use  morning  and  evening. 

Equal  parts  of  Lime  Water  and  Petroleum,  will  also  relieve 
these  cases.  After  the  blisters  have  broken,  poultice  them  with 
bread  and  milk,  or  flax  seed,  for  several  days  ; afterward,  dress  the 


u.  OF  IU.  LIB. 


52 


OUR  FAMILY  PHYSICIAN. 


surface  with  an  ointment  composed  of  equal  parts  of  the  ointment 
of  Nitrate  of  Mercury,  and  simple  cerate,  spread  on  lint,  or  soft 
cloth. 

Some  simple  applications  for  chilblains  are  as  follows : 

1.  One  ounce  of  Sulphate  of  Zinc,  dissolved  in  a pint  of  water. 
Bathe  the  affected  part  several  times  a day. 

2.  One  ounce  of  the  Muriate  of  Ammonia,  dissolved  in  half  a 
pint  of  cider  vinegar.  Use  as  the  first  one. 

3.  Compound  soap  Liniment,  two  ounces ; and  Tincture  of 
Cantharides,  one  ounce.  Mix  them,  and  use  as  above. 

4.  Vinegar  and  Alcohol,  each,  half  a pint;  Muriate  of  Ammo- 
nia, one  ounce.  Mix,  and  use  as  the  others. 


Ringworm,  (Herpes  Circinnatus.) 

This  disease  is  characterized  by  an  eruption  of  little  vesicles, 
(bladder-like)  in  the  form  of  a ring,  the  center  retaining  its  natu 
ral  color.  It  is  attended  with  a slight  pricking,  and  itching  sensa- 
tion. These  vesicles  gradually  dry  up,  and  are  succeeded  by  thin 
scabs,  which  in  time,  fall  off,  leaving  the  skin  red.  The  disease 
may  appear  on  any  part  of  the  body,  but  is  generally  found  on  the 
neck,  and  face.  It  is  caused  by  exposure  to  cold,  damp,  improper 
diet,  fatigue,  etc. 

GENERAL  TREATMENT. 

Attention  should  be  paid  to  the  diet,  avoiding  all  stimulating 
articles  of  food.  Keep  the  parts  clean,  and  a tepid  bath  occasion- 
ally, will  be  beneficial.  It  is  well  to  open  each  vesicle  with  a 
needle,  and  allow  the  contents  to  escape  ; this  will  often  allay  the 
itching. 

ALLOPATHIC. 

In  severe  cases  use  some  mild  aperient,  as  Sulphur  and  Magne- 
sia, or,  Sulphur  and  Bitartrate  of  Potass.  The  smarting,  itching 
and  burning,  may  be  relieved  by  a lotion  of  Acetate  of  Lead, 
with  a little  alcohol,  or  the  use  of  the  Acetate  of  Lead  Ointment. 
The  juice  of  the  green  rind  of  walnuts,  tincture  of  galls  or  a 
strong  solution  of  the  Acetate  or  Sulphate  of  Copper,  are  applica 
tions  recommended  by  Condie. 


GENERAL  DISEASES. 


63 


ECLECTIC  AND  HERBAL. 

The  following  ointment  is  recommended  by  Dr.  John  King: 
Bayberry  Tallow,  . ^ ounce. 

Sweet  Gum,  * \ u 

Mutton  Suet, * 1 “ 

Melt  together,  and  strain. 

The  following  is  said  to  infallibly  cure : 

Take  Tobacco  leaves  and  boil  them,  and  add  vinegar  and  strong 
lye  to  the  liquor  : wash  the  eruption  several  times  a day.  Castor 
oil  frequently  applied  is  said  to  be  a certain  cure. 

Balsam  of  Peru  mixed  with  an  equal  quantity  of  tallow,  may 
sometimes  cure. 


HOMEOPATHIC. 

Sepia  may  be  given  in  doses  of  six  globules  morning  and  eve- 
ning. If  at  the  end  of  a week  this  does  not  cure,  give  Rhus  Tox, 
and  Sulphur  on  alternate  days ; a dose,  (six  globules.)  After 
having  tried  these  remedies  for  ten  days  or  two  weeks,  and  there  is 
still  no  improvement,  give  Calcarea  and  Causticum  on  alternate 
days,  or  give  one  alone,  a dose  every  evening. 

Other  remedies  are,  Graphites,  Silicia,  Nitric  Acid,  Mercurius. 
These  may  be  given,  the  same  as  those  mentioned  before. 

Tetter,  (Herpes.) 

Tetter  may  be  divided  into  the  dry  and  the  moist.  Of  the  dry 
variety  dandruff  may  be  taken  as  an  example.  It  is  characterized 
by  the  production  of  very  small  white  scales  or  scurf,  and  is  found 
on  the  face,  head,  breast,  hands,  feet,  and  at  the  bending  of  the 
joints.  It  more  frequently  affects  the  hairy  scalp. 

Moist  tetter  includes  the  following  : eczema , which  consists  of  an 
eruption  of  small,  watery  pimples,  on  various  parts  of  the  body, 
and.  closely  crowded  together.  When  these  pimples  are  broken, 
the  fluid  spreads  over  the  sound  skin,  causing  the  disease  to  spread. 
If  left  to  themselves,  these  pimples  dry  up  and  form  a crust. 

Another  variety  is  pemphigus,  which  is  an  eruption  of  bubbles, 
containing  a watery  fluid,  like  those  raised  by  a blister.  They 
vary  in  size  from  a split  pea,  to  half  a walnut  shell.  They  rise 
up  very  rapidly,  break,  and  leave  a raw  surface  which  soon  heals. 


54 


Otm  FAMILY  PHYSICIAN. 


Shingles  is  another  form  of  moist  tetter.  An  attack  of  this  dis- 
ease is  generally  dreceded  by  a slight  fever  for  two  or  three  days, 
followed  by  an  eruption  of  small,  transparent  pimples,  filled  some- 
times with  a colorless,  and  sometimes  with  a brownish  fluid.  It  ap- 
pears on  the  face  and  extremities,  but  generally  on  the  body,  where 
it  takes  the  form  of  a belt,  or  zone,  surrounding  it. 

GENERAL  TREATMENT. 

The  first  thing  to  be  considered  in  the  treatment  of  these  affec- 
tions, is  cleanliness.  The  diet  should  also  receive  attention.  All 
rich,  stimulating,  and  highly  seasoned  food,  should  be  avoided.  An 
occasional  warm  bath  will  be  found  very  beneficial,  as  well  as  the 
sulphur  vapor  bath. 

Asa  general  remedy  for  tetter,  Dr.  C.  W.  Benson’s  “Skin  Cure” 
is  recommended.  For  eczema,  especially,  nothing  is  better.  It  con- 
sists of  two  preparations,  one  for  internal,  the  other  for  external  use, 
and  is  sold  at  one  dollar  per  package,  which  includes  both  prepara- 
tions. Directions  for  use,  as  well  as  a brief  but  comprehensive  trea- 
tise on  the  treatment  of  skin  diseases,  by  Dr.  Benson,  accompany 
the  medicine.  The  Doctor  is  a specialist  in  skin  diseases,  and  en- 
joys a large  practice  at  his  home  in  Baltimore. 

ECLECTIC  AND  HERBAL. 

A good  treatment  for  shingles  is  to  regulate  the  bowels  with  some 
mild  cathartic,  as  magnesia ; then  let  the  patient  use  freely  a decoc- 
tion of  Burdock,  Yellow  dock,  and  Sassafras  root,  for  a few  days,  or 
administer  the  compound  syrup  of  Yellow  dock.  Sponge  the  body 
at  night  with  warm  saleratus  water.  The  ointment  of  Bayberry 
tallow  given  under  “Ringworm,”  will  be  beneficial,  or  the  following: 

Oxide  of  Zinc,  ------  3^  ounces. 

Benzoic  Acid,  ------  1 drachm. 

Sulphate  of  Morphia,  - - - 1 scruple. 

Oil  of  Boses, 10  minims. 

Reduce  all  to  a fine  powder  in  a mortar,  then  add  the  following, 
which  have  first  to  be  melted  together. 

Olive  Oil,  - - - 1 pound. 

White  Wax,  - ...  2 ounces. 

Spermaceti,  ------  5 ounces. 

Stir  until  cold 

For  the  eczema  the  following  may  be  used  : take  two  ounces 


GENERAL  DISEASES. 


each  of  yellow  dock  root,  and  blood  root ; wash,  and  put  them  in 
half  a pint  each  of  alcohol,  and  vinegar  ; let  it  stand  for  a week 
or  ten  days  before  using.  This  preparation  should  be  applied  once 
or  twice  a day,  and  also  the  following  ointment,  applied  as  often  : 

Fresh  Butter, 4 ounces. 

Venice  Turpentine,  * - - • 1 ounce. 

Red  Precipitate,  .....  3 drachms. 

Mix. 

For  pemphigus , the  following  ointment  may  be  used  : 

Oxide  of  Zinc, 1 drachm. 

Spermaceti  Ointment,  ...  -1  ounce. 

Mix.  Apply  at  night. 

HOMEOPATHIC. 

For  shingles , it  is  well  to  commence  the  treatment  with  Aconite, 
especially  when  there  are  fever,  languor,  headache,  etc.  Aftei 
having  given  a few  doses  of  this,  give  Rhus-Tox,  a dose  (six  glo 
oules)  every  three  or  four  hours. 

If  there  be  nausea  and  vomiting,  give  Tartar  Emetic. 

When  matter  forms  in  the  vesicles  give  Hepar  Sulphur,  the 
same  as  Rhus. 

When  there  is  a burning  sensation  in  the  vesicles,  with  dry  skin, 
thirst,  etc.,  give  Arsenicum. 

When  the  eruption  becomes  ulcerated,  the  following  remedies 
may  be  given:  Mercurius,  Sepia,  Lycopodium,  Sulphur.  Give  a 

dose  of  one  of  these  remedies  every  three  or  four  hours,  for  two 
days,  when,  if  there  is  no  improvement,  change  to  another.  Dan- 
druff requires  one  of  the  following  remedies : Dulcamara,  Sepia, 

Sulphur,  Silicia. 

Eczema , requires,  Rhus,  Graphites,  Calcarea,  Lycopodium,  Sul- 
phur, Dulcamara. 

Pemphigus  requires,  Carbo  veg.,  Rhus,  Sulphur,  Graphites, 
Mercury,  Lycopodium. 

When  the  itching  is  violent  give  Nitric  Acid,  Phosphorus,  Gra- 
phites ; when  the  itching  is  increased  by  warmth,  give  Clematis  ; 
when  worse  in  the  evening,  give  Alumina  and  Staphysagria. 

Administration  of  Remedies . — Take  a dose  (six  globules)  of  the 
remedy  chosen,  morning  and  night,  for  two  weeks.  If  there  is  no 
improvement  at  the  end  of  that  time,  choose  another  remedy,  and 
give  in  the  same  manner. 

ALLOPATHIC. 

For  moist  tetter,  as  shingles , eczema , and  pemphigus,  the  following 
treatment  may  be  adopted  : 


66 


OUR  FAMILY  PHYSICIAN. 


If  the  patient  is  old  or  feeble  give  the  following  : 

Bicarbonate  of  Soda,  £ ounce. 

Compound  Infusion  of  Gentian,  - - 4 ounces. 

Tincture  of  Colombo,  1 ounce. 

Syrup  of  Orange  peel,  - - * - £ ounce. 

Mix.  Dose,  a tablespoonful  three  times  a day. 


At  the  same  time  use  the  following  application  : 

Elder  flower  ointment,  - - - - I ounce. 

Oxide  of  Zinc,  1 drachm. 

When  the  system  is  in  good  condition,  the  following  may  be 
used  : 


Blue  Pill,  .....  i scruple. 

Compound  Rhubarb  Pill,  - • - - 2 scruples. 

Mix.  Divide  into  twelve  pills,  of  which  take  one  or  two  for  a 
dose  until  they  operate.  At  the  same  time  take  the  following  : 
Decoction  of  Sarsaparilla,  ^ pint. 

Hydriodate  of  Potash,  - - * - 25  grains. 

Mix.  Dose,  two  tablespoonfuls  three  times  a day. 

The  following  lotion  may  be  used  : 

Spirit  of  Wine,  .....  2^  ounces. 

Distilled  Water,  .....  I pint. 

Mix.  Use  several  times  a day. 

When  the  crusts  begin  to  come  off,  use  this  : 

Sulphate  of  Zinc,  \ drachm. 

Distilled  Water, 1 pint. 

Mix. 


For  dandruff  the  following  lotion  may  be  used  : 

Solution  of  Potash,  ....  2 drachms. 

Hydrocyanic  Acid  (diluted),  - - - J drachm. 

Almond  mixture,  £ pint. 

Mix.  Use  once  or  twice  a day. 

1 f,  after  using  this  for  some  time,  and  there  is  no  improvement, 
use  the  following : 

Ointment  of  Nitrate  of  Mercury,  - - 1 part. 

Spermaceti  Ointment,  - - - - 2 parts. 

Mix. 


In  chronic  eruptions  of  this  character  the  following  may  be  used 
with  benefit : 

Prepared  Sulphur,  1 scruple. 

Carbonate  of  Magnesia,  ...  10  grains. 

Compound  Powder  of  Jalap  and  Ginger,  each  5 grains. 

Mix.  Take  a small  portion  twice  a dav 


GENERAL  DISEASES. 


57 


Itch,  (Scabies  — Psoba.) 

This  is  a contagious,  eruptive  disease,  found  generally  in  those 
of  uncleanly  habits. 

Cause . — It  is  caused  by  the  presence  of  a very  minute  insect, 
called  the  Acarus  Scabies.  This  insect  when  placed  upon  the 
skin,  immediately  sets  to  work,  and  burrows  himself  a habitation 
beneath  the  epidermis,  or  scarf  skin.  Of  course  the  wandering 
about  of  this  intruder,  causes  an  intense  itching,  which,  James  the 
First  remarked,  was  fit  only  for  Kings,  as  the  luxury  of  scratching 
was  so  great. 

Symptoms.  — As  a general  thing,  this  eruption  appears  first  on 
the  wrists,  and  between  the  fingers.  It  may,  however,  extend 
over  the  whole  body,  but  never  appears  on  the  face.  The  eruption 
consists  of  small,  pointed  vesicles,  filled  with  a transparent  fluid. 
These  vesicles  at  first,  are  of  a pale  rose  or  pinkish  color.  The 
vesicles  are  soon  broken  by  the  fingers,  or  clothing,  when  the  fluid 
forms  a thin  scab.  It  may  be  known  from  other  eruptions,  by  its 
form,  by  the  intense  itching,  and  by  its  never  appearing  on  the 
face.  The  itching  is  worse  at  night,  being  increased  by  the 
warmth  of  the  bed. 

TREATMENT. 

For  this  disease  about  the  only  remedy  which  will  cure,  is  Sul- 
pl-ur  ointment.  This  destroys  the  insect,  and  the  cure  is  effected. 
Use  as  follows  : milk  of  Sulphur  one  part,  and  lard  two  parts. 
Mix  thoroughly,  and  rub  well  into  the  skin.  Other  preparations 
are  as  follows  : 


Sulphur,  ..... 

Carbonate  of  Potash, 

2 ounces. 

- 2 drachms. 

Prepared  Lard,  .... 

Mix. 

• 4 ounces. 

Sulphur,  ..... 

1 ounce. 

Borate  of  Soda,  .... 

- 1 drachm. 

Muriate  of  Ammonia, 

1 “ 

White  Precipitate  of  Mercury, 

• 2 scruples. 

Prepared  Lard,  * 

Mix.  (Green.) 

2 ounces. 

68 


OUR  FAMILY  PHYSICIAN. 


Whichever  of  these  is  used,  (and  I would  recommend  simply 
sulphur  and  lard,)  the  patient  must  anoint  himself  from  head  to 
foot,  and  to  the  ends  of  his  fingers  ; rub  it  well  into  the  skin 
before  a fire,  dress  himself  in  socks,  drawers,  and  flannel  shirt,  and 
remain  in  bed  for  thirty-six  hours,  in  which  time  apply  the  oint- 
ment twice.  At  the  end  of  this  time,  cleanse  the  skin  thoroughly 
in  a warm  bath.  If  this  means  is  not  effectual,  pursue  the  same 
course  again. 

In  mild  cases  the  sulphur  vapor  bath,  taken  once  or  twice  a day, 
will  readily  relieve. 

Milk  Crust,  (Crusta  Lactea.) 

This  disease  occurs  more  frequently  during  the  time  of  cutting 
the  first  teeth  than  at  any  other,  and  appears  on  the  forehead, 
cheeks,  or  scalp.  The  eruption  consists  at  first  of  red  blotches, 
on  which  soon  appear  small,  yellowish,  or  straw  colored  pustules, 
and  which  are  sometimes  attended  with  severe  itching.  These 
may  spread  over  the  whole  face  and  scalp,  and  the  patient  present 
a disgusting  appearance.  At  the  end  of  three  or  four  days,  these 
pustules  burst,  and  discharge  a sticky  fluid,  which  forms  crusts  of 
a whitish-yellow  or  greenish  color.  The  fluid,  as  it  discharges  from 
the  surface  beneath,  causes  the  crust  to  constantly  grow  thicker, 
and  also  spreads  over  the  surrounding  skin,  thus  extending  the 
disease.  When  the  crusts  are  removed,  the  surface  is  seen  to  be 
red  and  inflamed,  and  studded  with  little  points,  from  which 
the  fluid  constantly  oozes.  The  general  health  of  the  patient 
remains  good,  unless  it  be  that  he  grows  cross  and  irritable 
from  the  itching.  In  cases  occuring  in  children  with  fair  hair  and 
pale,  delicate  skin,  the  glands  of  the  neck,  and  behind  the  ear,  are 
apt  to  swell,  and  become  hard  and  tender. 

The  crusts  usually  begin  to  fall  off,  in  from  two  to  four  weeks, 
leaving  the  surface  red,  shining,  and  tender,  which  is  liable  on  the 
slightest  irritation  to  form  a new  crop  of  pustules,  and  thus  pro- 
long the  disease  for  months,  and  perhaps  years.  No  permanent 
marks  are  left  upon  the  skin,  by  even  the  severest  forms  of  the 
disease.  The  hair  in  this  disease  may  come  out,  but  it  will  grow 
again,  as  the  hair  bulb  is  not  destroyed  as  in  tinea  capitis,  or  scald 
head  In  washing  the  head,  tar  soap  is  the  best  to  use 


GENERAL  DISEASES. 


5& 


TREATMENT HOMEOPATHIC. 

When  the  disease  first  appears,  and  the  itching  is  severe  partic- 
ularly at  night,  give  Aconite,  either  alone  or  in  alternation  (turn 
about)  with  Chamomilla,  a dose  every  two  hours. 

Sepia  may  be  given  in  many  cases  with  good  effect. 

Rhus-Tox,  may  be  given  when  Aconite  fails  to  relieve  the  itch 
ing.  It  is  well  to  give  this  remedy  and  Sulphur  together.  Give 
a dose,  (six  globules)  of  Sulphur  at  night,  and  Rhus-Tox,  a dose 
(six  globules),  at  morning  and  noon.  Continue  this  treatment  for 
several  weeks.  If  diarrhoea  makes  its  appearance  stop  the  Sul- 
phur, and  give  the  Rhus,  three  times  a day. 

Calcarea  Carb.  may  be  given  when  the  eruption  is  dry. 

If  the  eruption  is  moist,  the  discharge  profuse,  and  smells  badly, 
give  Lycopodium. 

Other  remedies  are,  Arsenicum,  Croton-Tiglium,  Petroleum, 
Mezereum,  Hepar  Sulphur,  Graphites,  Nitric  Acid,  Antimonium 
Crudum. 

Use  nothing  externally  but  milk  and  water,  slippery  elm  water, 
or  glycerine. 

Administration  of  Remedies.  — Dissolve  twelve  globules  in  twelve 
teaspoonfuls  of  water,  and  when  the  disease  first  appears,  give  a 
teaspoonful  every  three  hours.  As  the  child  improves,  give  it  two 
or  three  times  a day,  unless  other  directions  are  given  with  the 
remedy.  If  preferred,  give  three  globules  dry  upon  the  tongue. 

ALLOPATHIC. 

In  mild  cases,  it  is  well  to  administer  magnesia  in  doses  of  two 
or  three  grains  once  a day.  A mixture  of  sulphur  and  cream  of 
tartar  will  also  be  beneficial.  In  severe  cases  give  Calomel,  in 
doses  of  from  one  to  two  grains,  sufficiently  often  to  act  freely  on 
the  bowels. 

As  applications,  use  thick  cream,  spermaceti  ointment,  ointment 
of  rose  water,  or  glycerine.  The  watery  solution  of  opium  is  a 
good  application  to  allay  the  irritation.  The  following  may  also 
be  used  for  the  same  purpose  : 

Borate  of  Soda,  - - - - 10  grains. 

Rose  water,  - - - - - - 2 ounces. 

Glycerine, 2 drachms. 

Mix.  Use  two  or  three  times  a day. 

The  following  may  also  be  used  with  benefit  in  some  cases : 

Hydrocyanic  Acid,  ....  2 drachms. 

Sugar  of  Lead,  • • ■ - 15  grains. 

Alcohol,  - 4 drachms. 

Water,  .......  7 ounces. 

Mix.  Use  once  a day. 


60 


OUR  FAMILY  PHYSICIAN. 


Cazenave  recommends  the  oxide  of  Zinc  mixed  with  fifteen 
parts  of  starch,  to  be  used,  having  first  washed  the  parts  with  weak 
lye,  and  dried. 

Condie  recommends  that  after  the  inflammation  has  entirely 
subsided,  the  ointment  of  the  nitrate  of  Mercury,  diluted  with 
one-third  portion  of  lard,  be  used  as  an  application. 

ECLECTIC  AND  HERBAL. 

The  following  may  be  used  to  purify  the  blood  : tincture  of 
Black  Cohosh,  and  tincture  of  Shrubby  Trefoil,  of  each,  three 
ounces  ; mix.  Give  from  five  to  twenty  drops,  according  to  the 
age  of  the  child,  in  a teaspoonful  of  sweetened  water.  If  a tonic 
is  required,  add  to  each  dose  two  or  three  drops  of  the  tincture  of 
Muriate  of  Iron.  As  an  ointment  use  the  following  : 


Mutton  Tallow,  .... 

1 ounce. 

Oxide  of  Zinc,  ..... 
Tincture  of  Camphor, 

- 1 drachm. 

2 drachms. 

Glycerine,  ..... 

Mix.  Apply  two  or  three  times  a day. 

- 1 drachm. 

Scald  Head,  (Tinea  Capitis,  Favus.) 

Scald  head  is  a contagious,  eruptive  disease  of  the  scalp,  char- 
acterized by  small  ulcers  at  the  roots  of  the  hairs  of  the  head.  It 
commences  in  the  form  of  small  red  patches,  in  the  middle  of 
which,  is  a small  yellow  pustule,  and  each  pustule  will  generally 
be  found  pierced  by  a hair.  These  pustules  break,  and  form  thin 
scabs,  and  in  the  center  of  each  scab,  is  a depression.  These 
scabs  becoming  joined  to  others  soon  form  large  patches.  The 
crusts  gradually  accumulate,  and  become  hard.  When  the  crusts 
are  removed,  the  surface  is  left  red  and  shining.  If  the  disease 
continues  for  any  considerable  time,  the  hair  falls  out,  and  seldom 
or  never  re-appears.  If  it  does,  it  is  of  a lighter  color,  short,  and 
unhealthy.  The  smell  given  off  from  the  scalp  is  disgusting,  espec- 
ially in  severe  cases,  and  where  cleanliness  is  not  included  in  the 
treatment.  Vermin  also  gather  under  the  crusts,  and  are  a source 
of  great  annoyance.  Being  a very  contagious  disease,  children 
affected  with  it  should  not  be  allowed  to  use  the  same  brush  and 
comb,  the  same  covering  for  the  head,  or  the  same  towel,  or  sleep 
in  the  same  bed  as  others. 


GENERAL  DISEASES. 


61 


GENERAL  TREATMENT. 

Cleanliness  is  of  the  greatest  importance  in  this  disease.  The 
hair  should  be  cut  as  short  as  possible,  and  during  the  course  of 
the  disease,  all  unhealthy  hairs  should  be  pulled  out  with  a pair  of 
small  forceps,  or  tweezers.  The  diet  should  be  carefully  regulated, 
avoiding  all  stimulating  and  rich  food. 

ALLOPATHIC . 

Remove  the  crusts  with  a simple  poultice,  as  bread  and  milk,  or 
a wash  of  two  or  three  drachms  of  subcarbonate  of  potassa  to  a 
pint  of  water.  After  this  apply  night  and  morning,  the  ointment 
of  the  nitrate  of  mercury,  or  the  ointment  of  the  iodide  of  potas- 
sium, in  the  proportion  of  one  drachm  of  the  potassium  to  two 
ounces  of  lard.  Wash  the  parts  well  with  Castile  soap  and  tepid 
water  before  applying  the  ointment.  “ When  there  is  much  dis- 
charge, apply  two  or  three  times  a day,  a solution  of  two  or  three 
grains  of  sulphate  of  zinc  to  an  ounce  of  water  ; if  there  is  no  dis- 
charge, an  ointment  composed  of  one  drachm  of  powdered  sulphate 
of  zinc  to  an  ounce  of  lard,  or  a lotion  of  two  drachms  of  bicar- 
bonate of  potash  to  a pint  of  water ; or  if  these  fail,  two  drachms 
of  the  sulphuret  of  potash,  two  drachms  of  white  soap,  and  half  a 
pint  of  lime  water.”  If  any  of  these  applications  produce  an  irri- 
tation, they  must  be  discontinued,  and  poultices  and  tepid  washes 
be  used. 

An  ointment  well  recommended  is  as  follows  : 

Pulverized  Sulphate  of  Copper,  - - 10  grains. 

Extract  of  Spanish  Flies,  ...  5 u 

Lard,  -------  1 ounce. 

Mix.  Use  once  a day,  after  thoroughly  washing,  with  Castile 
soap  and  water. 

Sometimes  the  following  ointment  will  produce  excellent  results*. 
Acid  Nitrate  of  Mercury,  - - - 1 drachm. 

Water,  - - - - - - - 4 ounces. 

Mix.  Apply  with  a camel’s  hair  pencil,  every  other  day. 

ECLECTIC  AND  HERBAL. 

Cut  the  hair  closely,  and  apply  a slippery  elm  poultice,  until  the 
scabs  are  loosened  and  come  off.  Before  applying  the  poultice, 
wash  the  head  wuth  Castile  soap  and  water.  After  removing  all 
the  crusts  and  washing  the  head,  apply  the  following  ointment: 
Sulphate  of  Zinc,  1 ounce. 

Woodsoot,  - - - - - - 1 “ 

Sulphur, i “ 

Lard,  -------  6 ounces. 

Mix.  Apply  night  and  morning. 


62 


OUR  FAMILY  PHYSICIAN. 


Keep  the  bowels  open  with  an  occasional  dose  of  magnesia  or  can- 
tor oil.  Another  ointment  highly  recommended  is  made  by  taking 
green  rye  when  six  or  eight  inches  in  height,  and  simmering  it  with 
fresh  cream  until  the  leaves  are  crisp.  Sulphur  ointment  will  some 
times  effect  a cure. 

HOMEOPATHIC. 

Sepia  may  be  given,  a dose  (six  globules)  three  times  a day.  Con- 
tinue this  for  two  or  three  weeks,  when,  if  no  improvement  takes 
place,  give  Calcarea  earb. ; if  the  eruption  is  dry,  a dose  (six  glob- 
ules) morning  and  night.  Continue  this  two  weeks,  and  then  give 
Sulphur  if  there  is  still  no  improvement.  If  the  eruption  is  moist , 
give  Rhus  or  Lycopodium,  a dose  twice  a day,  followed  by  Sulphur. 
If  the  discharge  from  the  eruption  is  excoriating,  making  sores 
wherever  it  touches,  give  Arsenicum  and  Rhus,  on  alternate  days, 
three  times  a day. 

A good  wash  for  the  head  is  bran  water.  As  an  application, 
Nitric  acid,  in  the  proportion  ot  twelve  drops  to  four  ounces  of  water, 
may  be  used.  Whatever  remedy  is  given  internally,  it  is  well  to 
use  the  same  one  as  an  application  ; make  it  b^  dissolving  twelve 
or  fifteen  globules  in  half  a tumbler  of  water. 

Other  remedies  than  those  already  mentioned  are  as  follows:  Dul- 
camara, Staphysagria,  Hepar  Sulphur,  Antimonium  Crudum,  Graph- 
ites, Bryonia,  These  may  be  used  in  the  same  way  as  the  others, 
when  they  fail  in  producing  the  desired  effect. 

Corns. 

Corns  are  a thickening  of  the  scarf  skin  caused  by  pressure,  or 
friction,  from  wearing  tight  or  badly  fitting  shoes. 

TREATMENT. 

Tearing  or  cutting  the  corn  from  the  flesh  should  never  be  at- 
tempted. It  causes  inflammation.  The  safest,  surest,  quickest  and 
best  cure  for  corns,  as  well  as  for  bunions,  warts,  moles  and  callouses, 
is,  it  is  claimed,  a remedy  put  up  by  TIiscox  & Co.,  chemists,  of  New 
York,  and  known  as  “ Hindercorns.”  It  is  easily  applied,  relieves 
the  pain,  and  it  so  loosens  the  corn  so  that  it  can  be  easily  removed 
with  the  fingers  without  injury  to  the  skin  underneath.  It  is  a very 
simple  remedy,  costing  but  fifteen  cents  at  any  drug  store.  It  is 
much  better  to  use  this  than  to  try  to  get  rid  of  the  corn  by  the  ap- 
plication of  caustic. 

Soft  corns  between  the  toes  may  be  cured  by  applying  two  or  three 
times  a day,  lint  or  cotton,  moistened  with  tincture  of  camphor.  A 
piece  of  cotton  should  be  worn  for  a long  time,  until  the  parts  are 
thoroughly  recovered. 


GENERAL  DISEASES. 


63 


There  are  many  preparations  used  to  remove  corns,  some  of 
which  are  as  follows  : A leaf  of  ivy,  soaked  with  vinegar,  and  bound 
on  the  corn  ; lint,  or  cotton  soaked  in  a fluid  compound  of  Muriate 
of  Ammonia,  one  ounce,  dissolved  in  four  ounces  of  water.  Make 
a thick  paste  with  white  lead  and  linseed  oil,  and  enough  powdered 
bloodroot  to  color  it;  spread  on  a piece  of  thin  leather,  apply  to  the 
corn,  renewing  every  three  or  four  days.  Take  Nitric  Acid,  and 
Muriatic  Acid,  of  each,  half  an  ounce  ; Red  Sanders,  Opium,  Muri- 
ate of  Ammonia,  of  each,  one  drachm.  Cut  slightly  around  the  corn 
and  touch  it  with  the  stopper  of  the  vial  in  which  is  the  mixture 
(having  first  moistened  the  cork  by  shaking  the  vial.)  Make  a pow  * 
der  of  Savine  leaves,  two  ounces  : Verdigris,  one  drachm  ; Red  Pre- 
cipitate, two  ounces  ; mix,  and  bind  on  the  corn  over  night.  Take 
Tartaric  Acid,  Muriatic  Acid,  and  water,  of  each,  one  ounce,  and 
add  a lump  of  mutton  tallow  ; apply  to  the  corn  by  means  of  a 
stick,  several  times,  carefully  cutting  away  the  hard  portion  with  a 
knife.  A preparation,  called  “ Sir  Plumphrey  Davy’s  Solvent,”  is  as 
follows  : Potassa  two  parts,  Salt  of  Sorrel  one  part ; reduce  these  to 
a fine  powder,  mix,  and  apply  a small  quantity  with  a bandage,  to 
the  corn,  for  several  nights  in  succession.  Strong  Acetic  Acid  is 
however  about  the  best  application  that  can  be  used.  It  is  neces- 
sary, however,  to  effect  a cure,  and  have  it  remain  permanent,  that 
boots  or  shoes  should  not  be  too  tight,  and  should  fit  well. 

Warts. 

These  are  so  common  that  no  description  is  necessary,  almost 
every  one  having  had  more  or  less  experience  with  them.  The 
applications  for  removing  them  are  almost  as  numerous  as  the 
warts  themselves — some  of  which  are  here  given. 

Take  equal  parts  of  Muriate  of  Ammonia,  Cayenne,  and  Blood 
Root,  all  finely  powdered ; mix,  and  form  a plaster  with  a little  tal- 
low and  beeswax  melted  together.  Cut  a hole  in  the  centre  of  a 
piece  of  sticking  plaster,  so  that  the  wart  may  project  through, 
apply  it  to  the  wart,  and  then  put  on  the  other  plaster.  Continue 
the  use  of  this  plaster  from  day  to  day  until  the  wart  is  killed. 

Carbonate  of  Soda,  one  ounce  ; water,  one  pint  ; mix,  and  wash 
the  warts  three  times  a day. 

Concentrated  Acetic  Acid  is  an  excellent  application,  as  well 
as  Nitric  Acid,  and  Nitro-Muriatic  Acid.  Remove  the  wart  as 
fast  as  it  becomes  hard. 


64 


OUR  FAMILY  PHYSICIAN. 


A saturated  solution  of  the  Bichromate  of  Potassa  has  been  suc- 
cessfully used  ; it  should  be  allowed  to  touch  no  other  part  but  the 
wart. 

Manganic  Acid  will  destroy  them  rapidly. 

A mixture  of  equal  parts  of  Nitre  and  unslacked  lime,  with  suf- 
ficient vinegar  to  form  a thick  paste,  is  good. 

The  bark  of  the  common  willow,  burned  to  ashes,  mixed  with 
strong  vinegar,  and  applied  frequently  will  sometimes  remove  them. 

Tie  a strong  thread  around  the  wart,  and  draw  it  tighter  from  day 

to  day. 


GENERAL  DISEASES. 


65 


CHAPTER  II 
Fevers. 

FEVER  may  he  said  to  be  a general  term,  under  which  are 
included  several  forms  of  disease  ; and  is  one  of  the  most 
common,  and  frequently,  one  of  the  most  complicated  complaints, 
to  which  the  human  body  is  liable.  It  is  present  in  all  acute  dis- 
eases to  a greater  or  less  extent.  A fever  which  commences  as  a 
simple  or  common  one,  may  be  allowed  to  run  on,  until  it  becomes 
an  intermittent,  or  a typhoid.  It  affects  the  system  generally,  and 
is  rather  a symptom  of  disease,  than  a disease  in  itself. 

Causes.  — The  causes  which  excite  fever  are  numerous,  some  of 
which  are  as  follows  : Great  physical  or  mental  exertion,  grief, 
anxiety,  want  of  proper  food,  clothing,  or  exercise  ; miasmata  (the 
poisonous  substances  arising  from  decaying  animal  or  vegetable 
matter,)  extremes  of  heat  and  cold,  sudden  changes  in  the  weather, 
injuries,  inflammations,  stimulating  food  and  drinks. 

Symptoms.  — The  patient  generally  first  complains  of  a sense  of 
weariness,  and  languor,  soreness  of  the  flesh,  heaviness  and  fullness, 
of  the  head,  loss  of  appetite,  bad  taste  in  the  mouth,  which  are 
soon  followed  by  great  heat,  thirst,  chilliness,  nausea  and  vomiting. 
These  symptoms  are  found  in  fevers  generally.  A description  of 
the  different  kinds  of  fever,  will  be  found  in  the  pages  following  : 

Common,  or  Ephemeral  Fever. 

This  is  the  simplest  form  of  fever,  and  may  last  for  only  one 
day,  or  continue  for  a week  or  more.  Under  proper  treatment 
however,  it  seldom  continues  for  more  than  three  or  four  days. 

Causes.  — Cold,  extreme  fatigue  of  mind  or  body,  unhealthy  food, 
excess  in  eating  or  drinking,  etc. 

Symptoms.  — Chilliness  with  heat,  sickness  at  the  stomach,  with 
perhaps  vomiting,  loss  of  appetite,  languor,  followed  by  fever, 
thirst,  furred  tongue,  etc. 

5 


86 


OUR  FAMILY  PHYSICIAN. 


GENERAL  TREATMENT. 

The  patient  should  remain  in  bed,  abstain  from  animal  food, 
taking  nothing  but  gruels,  broths,  etc. 

HOMEOPATHIC. 

Aconite  is  generally  about  the  only  remedy  required  in  this  dis- 
ease. Dissolve  twelve  globules  in  half  a cup  of  water,  and  give 
a teaspoonful  of  the  solution  every  two  or  three  hours,  until  free 
perspiration  takes  place. 

If  there  are  sudden  startings,  flushed  face,  and  other  symptoms 
indicating  that  the  head  is  more  or  less  affected,  Belladonna  may 
be  given  in  alternation  (turn  about)  with  Aconite 

ALLOPATHIC. 

Some  mild  aperient,  as  Magnesia  or  Epsom  Salts,  may  be  given, 
or  the  following  mixture  : 

Rochelle  Salt  or  Tartrate  of  Potash,  - 1 ounce. 

Carbonate  of  Magnesia,  - - - - 1 drachm. 

Peppermint  water,  .....  6 ounces. 

Mix.  Dose,  a teaspoonful  every  three  hours. 

Follow  this  with 

Solution  of  Acetate  of  Ammonia,  - H ounces. 

Sweet  Spirits  of  Nitre,  2 drachms. 

Syrup,  .....  - 2 “ 

Camphor  Mixture,  .....  4 ounces. 

Mix.  Dose,  a tablespoonful  every  four  or  six  hours. 

ECLECTIC  AND  HERBAL. 

Give  a simple  emetic,  as  equal  parts  of  Lobelia  and  Ipecac,  teas 
of  Chamomile  flowers,  Boneset,  Mayweed,  or  powdered  Mustard  in 
warm  water.  Put  the  patient  to  bed,  and  place  around  him  hot 
bricks,  or  bottles  of  hot  water,  and  have  him  drink  freely  of  teas 
of  Catnip,  Spearmint,  Pennyroyal,  Sage,  Saffron,  or  Balm. 


General  Inflammatory  Fever. 

This  fever  comes  on  in  the  regular  form  of  fever,  followed  by 
severe  chills,  and  with  the  ordinary  symptoms  of  heat  and  languor, 
restlessness  and  wandering  pains  in  the  back,  head  and  limbs. 
This  is  soon  followed  by  redness  of  the  face,  great  anxiety,  throb- 
bing of  the  temples,  great  heat  of  the  skin,  thirst,  tongue  coated 


GENERAL  DISEASES. 


67 


with  a white  fur ; breathing  rapid,  and  sickness  at  the  stomach  and 
sometimes  vomiting  ; skin  dry,  hot,  and  more  or  less  derangement 
of  almost  all  of  the  functions  of  the  body.  This  disease  may  run 
its  course  in  about  two  or  three  weeks,  but  if  it  does  not  cease 
about  that  time,  it  is  apt  to  run  into  Typhoid  fever. 

Causes.  — Overloading  of  the  stomach  with  fat  and  indigestible 
food,  irregular  habits,  checking  perspiration  suddenly,  violent  emo- 
tions of  the  mind,  and  injuries  to  the  body,  dwelling  in  damp  and 
ill-ventilated  houses,  and  intemperance  generally. 

TREATMENT ALLOPATHIC. 

As  costiveness  is  frequently  the  cause  of  this  fever,  the  bowels 
should  be  emptied  with  one  of  the  following : 

Sulphate  of  Magnesia,  ....  2 drachms. 

Freshly  roasted  Coffee  in  coarse  Powder,  - 2 scruples. 

Hot  Water,  4 ounces. 

Mix,  and  boil  them  three  minutes,  strain,  and  take  a teacupful 
every  three  hours,  for  immediate  effect.  A cupful  may  be  taken 
every  morning  to  keep  the  bowels  open. 

Or  this : 

Rhubarb,  - - - - - - 10  grains. 

Calcined  Magnesia, -J.  drachm. 

Mix.  Take  the  whole  of  this  at  one  dose. 

If  more  active  purgatives  are  required,  use  the  following : 

Compound  Extract  of  Colocynth,  - • £ drachm. 

Extract  of  Jalap,  -----  15  grains. 

Mix.  Make  12  pills.  Dose,  two  or  three  pills,  until  an  active 
operation  is  produced.  As  a cooling  drink,  the  following  may  oe 
taken  : 

Cream  of  Tartar, £ ounce. 

Fresh  Lemon-peel  bruised,  - - - - 4 ounces. 

Loaf  Sugar,  4 u 

Boiling  M^ater, 3 pints. 

Mix,  and  after  standing  awhile,  strain 

If  the  inflammation  is  situated  in  the  head,  cold  water  should 
be  applied  freely. 

ECLECTIC  AND  HERBAL. 

Cold  water  should  be  frequently  used,  sponging  the  body  for  a 
few  minutes  at  a time  until  the  fever  is  subdued.  If  the  head  is 


68 


OUR  FAMILY  PHYSICIAN. 


much  affected  with  pain  and  delirium,  three  or  four  leeches  should 
be  applied  to  each  temple  and  cloths  wet  in  cold  vinegar  and 
water  should  be  applied  to  the  head.  This  last  may  be  some- 
times used  instead  of  the  leeches. 

To  increase  the  secretions  and  loosen  the  bowels,  Ipecac,  in 
doses  of  1 or  grains  dissolved  in  a little  warm  water  or  molasses, 
may  be  given  once  in  two  hours. 

To  clear  the  bowels,  a powder  composed  of  the  following  may 
be  used  : 

Powdered  Podophyllin,  1 grain. 

Leptandrin,  ......  4 grains. 

Cream  of  Tartar,  -----  1 teaspoonful. 

Senna  and  Epsom  Salts  may  also  be  used  for  the  same  purpose. 

As  it  is  necessary  to  cause  perspiration,  warm  baths  should  be 
used,  or  the  feet  should  be  soaked  in  warm  water,  the  patient  drink- 
ing freely  of  teas  of  Sage,  Balm,  Boneset,  Pennyroyal,  or  Flax  seed. 
These  measures  will  generally  relieve  the  fever.  When  there  is 
want  of  sleep,  a pillow  of  hops  laid  under  the  patient’s  head,  or 
a strong  tea  of  hops,  will  be  beneficial.  In  the  latter  stage  of  this 
fever,  when  the  stomach  is  irritable,  it  is  safer  to  use  sometimes, 
instead  of  medicines,  injections,  and  these  may  be  composed  of  a 
tablespoonful  of  common  salt  dissolved  in  a pint  of  warm  water, 
or  molasses  and  water,  and  when  nourishment  cannot  be  retained 
in  the  stomach,  a broth  of  milk  and  water  gruel  may  be  given  by 
injection. 

The  diarrhoea  which  sometimes  follows  this  fever,  may  be  checked 
by  injections  of  w'arm  water,  in  which  are  put  15  or  20  drops  of 
laudanum  ; sometimes  small  doses  of  Rhubarb  and  Magnesia  will 
be  found  to  be  effectual. 

HOMEOPATHIC. 

Aconite . — Should  always  be  given  from  the  commencement.  If 
after  having  given  the  Aconite  for  six  hours,  the  symptoms  still 
continue,  give  Belladonna,  in  alternation  (turn  about ;)  especially 
when  the  head  is  hot,  with  violent  pains  in  the  front  part,  face  red, 
and  eyes  sensitive  to  light,  restlessness  or  drowsiness,  with  great 
thirst  and  delirium. 

Bryonia.  — If  with  the  other  symptoms  of  fever,  there  are  swim- 
ming of  the  head,  constipation  and  a sense  of  weight  on  the  stom- 
ach, and  pains  in  the  limbs  and  the  small  of  the  back. 

Other  remedies  which  may  be  used  when  the  lungs  are  affected, 
are,  Bryonia,  Tartar  Emetic,  and  Phosphorus. 

If  there  is  a tendency  to  Typhoid,  then  give  Rhus  in  alternation 
with  Bryonia. 


GENERAL  DISEASES. 


69 


For  the  diarrhoea,  give  either  of  the  following  remedies  : Mer- 

curius,  Arsenicum,  Ipecac,  Chamomilla,  Veratrum. 

The  diet  in  this  disease  should  he  very  light  from  the  first. 
Give  nothing  but  broths  and  cooling  drinks.  It  does  no  harm  for 
the  patient  to  drink  all  the  cold  water  wished  for,  and  sometimes 
it  is  beneficial. 

The  following  articles  may  be  used  as  a diet  : Barley-water, 
toast-water,  arrow-root,  apple-sauce,  and,  as  the  patient  gets 
better,  beef  tea  or  chicken  broth,  and  light  wine  now  and  then. 
The  patient  should  be  careful  about  taking  solid  food  until  thor- 
oughly recovered. 

Administration  of  Remedies.  — Dissolve  twelve  globules  in  twelve 
teaspoonsful  of  water,  and  give  a teaspoonful  every  one,  two  or 
three  hours,  according  to  the  urgency  of  the  symptoms. 

Nervous,  or  Typhoid  Fever. 

This  fever  sometimes  begins  abruptly  with  a chill,  although  gen- 
erally the  fever  comes  on  gradually,  so  that  its  commencement  is 
not  noticed.  The  patient  may  complain  for  quite  a long  time,  of 
weariness  and  general  uneasiness,  and  now  and  then  a headache. 
The  skin  may  be  somewhat  heated  and  face  flushed,  tongue  slightly 
coated  and  appetite  diminished.  These  symptoms  may  continue 
for  several  days  or  a week,  and  then  a chill  sets  in,  which  will  last 
from  six  to  eight  hours,  and  sometimes  for  one  or  two  days.  As 
soon  as  the  disease  is  formed,  this  chilliness  ceases,  and  the  patient 
exhibits  the  ordinary  symptoms  of  fever,  such  as  quick  pulse,  heat 
and  dryness  of  the  skin,  flushed  face,  shooting  pains  in  the  fore- 
head, roaring  in  the  ears,  no  appetite,  thirst  and  general  weakness. 
There  may  be  constipation  or  diarrhoea.  The  passages  will  be  yel- 
lowish or  greenish,  sometimes  mixed  with  blood.  There  will  be  a 
pinching  pain  in  the  bowels.  The  pain  in  the  bowels  is  increased 
by  pressure  over  the  right  side. 

As  the  disease  progresses  there  will  be  delirium,  which  may  be 
very  strong.  The  tongue  becomes  dry  and  of  a brownish  color  ; 
tin?  patient  is  either  very  restless  or  lies  in  a stupefied  condition. 

Generally  at  this  stage,  an  eruption  makes  its  appearance,  con- 
sisting of  small  red  spots  coming  out  on  the  abdomen,  and  in  some 
cases  extending  over  the  limbs  ; and  also,  at  the  same  time,  by  looking 


70 


OUR  FAMILY  PHYSICIAN. 


closely,  little  vesicles  containing  watery  fluid,  will  be  seen  on  the 
neck  and  upper  part  of  the  chest. 

If  the  disease  continues,  the  tongue  becomes  quite  dry,  with  a 
brown  or  black  coat,  and  the  teeth  are  covered  with  a black 
substance,  also  the  lips  and  gums.  The  heat  of  the  body  sinks 
below  the  natural  standard.  Perspiration  may  take  place,  which 
is  very  offensive.  The  abdomen  swells  and  becomes  drum-like. 
The  patient,  lying  on  his  back,  often  slides  towards  the  bottom  of 
the  bed  ; and  there  may  be  twitching  of  the  muscles  of  the  face, 
picking  at  the  bed-clothes,  and  mutterings.  He  may  rise  from  his  bed 
and  try  to  escape.  The  bowels  and  urine  are  now,  discharged  with- 
out the  patient  being  able  to  prevent  it,  or  there  may  be  a suppres- 
sion of  the  urine,  in  which  case  it  is  necessary  that  it  should  be 
drawn  off  with  an  instrument. 

As  the  disease  progresses,  the  extremities  become  cold  and 
clammy,  and  the  whole  surface  of  the  body  is  bathed  in  a clammy 
sweat.  Hiccough  occurs  ; the  countenance  looks  pinched,  and  the 
patient  gradually  sinks  away. 

Causes . — This  fever  is  undoubtedly  contagious  — may  be  carried 
from  one  person  to  another.  One  attack  will  generally  ensure  a 
person  against  having  another.  It  is  produced  either  by  over-ex- 
ertion of  body  or  mind,  excesses  of  any  kind,  bad  air  and  water, 
living  among  a crowded  population,  in  filthy  streets,  and  small 
apartments. 

GENERAL  TREATMENT. 

The  patient  should  be  placed  in  a well-ventilated  room,  the  bed 
being  frequently  shaken  up  and  the  cover  straightened.  It  is  ne- 
cessary to  protect  the  projected  parts  of  the  body,  such  as  the  hips 
and  the  lower  end  of  the  spinal  column,  from  pressure,  to  prevent 
bed-sores.  If,  however,  these  parts  should  become  tender  or  dark- 
colored,  or  present  a very  white  appearance,  weak  tincture  of 
Arnica  may  be  applied,  and  the  pressure  removed  from  the  parts 
by  soft  pillows  or  by  covering  the  parts  with  plasters. 

Attention  to  the  diet  is  of  great  importance  in  this  disease. 
In  the  first  stages  it  should  be  very  light,  consisting  of  liquids 
which  may  also  serve  the  purpose  of  drink,  such  as  gum  arabic 
water,  barley  water,  toast  water.,  weak  solution  of  sago,  tapioca, 
or  arrow  root,  oatmeal  or  Indian  meal  gruel  ; the  juice  of  sweet 


GENERAL  DISEASES. 


71 


grapes  and  oranges  may  also  be  allowed,  taking  care  not  to  swal- 
low any  of  the  solid  substance ; as  drinks,  cold  lemonade,  or  ice- 
water  may  be  used.  About  the  second  week,  when  the  patient 
becomes  very  weak,  sago,  tapioca,  or  arrow  root,  made  with  three 
parts  of  water  and  one  of  milk,  thick  gruels,  or  panada,  flavored 
with  nutmeg,  and  sometimes  with  wine,  may  be  given.  It  is  a 
good  plan  to  give  a wineglassful  of  one  of  these  preparations 
every  two,  three,  or  four  hours,  according  as  the  strength  of 
the  patient  requires  it.  In  some  cases,  milk  will  be  found  very 
beneficial,  giving  a tablespoonful  every  hour  or  two  : and  if  the 
stomach  be  irritable,  mix  it  with  an  equal  part  of  lime  water.  If 
the  patient  becomes  exceedingly  low,  it  will  be  well  to  give  beef 
tea,  milk  punch,  or  egg  beaten  up  with  wine. 

Care  should  be  used  to  examine  the  bladder  frequently,  as  it  is 
liable  to  become  filled  with  water,  which  is  necessary  should  be 
drawn  off.  When  the  fever  is  very  high,  the  surface  of  the  body 
may  be  bathed  in  cold  water  frequently,  and  the  patient  should  be 
allowed  plenty  of  cold  water  to  drink,  also  ice  to  eat. 

ECLECTIC  AND  HERBAL. 

In  the  early  part  of  the  disease,  if  there  are  nausea  and  vomit 
ing,  give  a mild  emetic,  as  the  compound  powder  of  Lobelia.  If 
there  is  constipation,  the  following  may  be  used. 

Black  Root,  ------  2 drachms. 

Rhubarb,  1 drachm. 

Boiling  Water,  £ pint. 

Let  the  root  stand  in  the  water  for  an  hour  or  two  ; strain  and 
give  a tablespoonful  every  hour,  until  an  operation  is  produced. 
Care  should  be  used  that  the  bowels  should  not  be  moved  too 
freely. 

During  the  fever  the  body  may  be  bathed  frequently  with  warm 
lye  water  and  cold  water  applied  to  the  head.  If  there  is  delirium, 
mustard  plasters  should  be  placed  to  the  feet,  and  along  the  spinal 
column.  The  diarrhoea  may  be  controlled  by  one  of  the  following 
remedies : 

Tris-Nitrate  of  Bismuth,  ...  3 grains. 

Turpentine, 15  drops. 

Peppermint  Water,  ....  2 drachms. 

Mix.  Take  at  one  dose. 

Tannic  acid  may  also  be  given  in  doses  of  one  or  two  grains: 
repeated  every  hour  ; or  oil  of  Turpentine  in  doses  of  G or  8 drops 
repeated  every  hour  or  two.  If  the  stomach  is  not  able  to  bear 
them  they  should  be  given  by  injections.  For  the  pains  in  the 
bowels,  and  swelling  of  the  abdomen,  a poultice  of  hops  or  lobelia, 


72 


OUR  FAMILY  PHYSICIAN. 


renewing  frequently,  and  not  allowing  them  to  get  cold.  Some- 
times oil  of  Turpentine,  added  to  this,  may  be  beneficial.  These 
applications  should  be  continued,  until  pressure  can  be  made  with- 
out pain,  or  until  the  patient  becomes  very  prostrate.  If  the 
patient  becomes  very  low  and  weak,  the  following  may  be  given  : 

Sulphate  of  Quinine,  20  grains. 

Elixir  of  Yitriol,  .....  i drachm. 

Tincture  of  Black  Cohos:.  Boot,  - - 14  drachms. 

Dissolve  the  Quinine  in  the  Elixir  of  Yitriol,  and  then  add  the 
tincture  of  Black  Cohosh.  Give  this  in  doses  of  twenty  drops  in 
cold  water,  every  hour. 

If  the  patient  is  very  nervous  and  irritable,  instead  of  the  above, 
the  valerianate  of  Quinine  may  be  given  in  doses  of  grain  every 
hour  or  two,  in  an  infusion  of  hops  and  scull-cap. 

During  the  fever  to  promote  perspiration,  an  infusion  of  Marsh- 
mallow root  and  peach  leaves,  or  an  infusion  of  Haircap  moss,  may 
be  given.  When  the  patient  becomes  very  low,  saturated  tinc- 
ture of  prickly  Ash-berries  may  be  used  as  an  injection.  For 
an  adult,  a tablespoonful  of  the  tincture  added  to  an  equal  portion 
of  ale  or  porter  or  brandy  and  water,  or  mutton  or  beef  tea  may  be 
used.  If  the  patient  cannot  retain  it,  a compress  of  linen  should 
be  used  to  hold  it  in  the  bowels  for  a considerable  time 

HOMEOPATHIC. 

If  at  the  commencement  there  is  headache,  giddiness,  chilliness, 
aching  in  the  back  and  limbs,  with  a slight  cough,  with  or  without 
diarrhoea,  sickness  at  the  stomach,  and  sometimes  vomiting,  give 
Bryonia  and  Rhus-Tox,  alternately,  (turn  about)  a dose  every  two 
hours. 

Make  the  patient  go  to  bed,  and  if  restless,  give  one  or  two  doses 
ol  Coffea  or  Belladonna.  As  soon  as  the  patient  perspires,  and 
these  symptoms  disappear,  the  patient  gets  better.  If,  however,  the 
disease  progresses  and  the  symptoms  become  worse,  Aconite  should 
be  given,  especially  when  the  pulse  is  full,  and  skin  hot  and  dry, 
with  violent  thirst.  This  should  be  given  alternately  (turn 
about),  with  Belladonna,  if  with  the  above  symptoms  there  arc 
severe  headache,  sensitiveness  to  light  and  noise,  and  starting  in 
the  sleep. 

If  the  symptoms  increase  in  violence,  give  Bryonia  and  Rhus, 
again,  alternately. 

The  other  remedies  are  as  follows: 

Arsenicum.  — The  skin  dry  and  yellowish,  the  eyes  sunken, 
face  shrunken,  hollow  and  pale,  cold  sweat  on  the  forehead,  lips 
dark  and  dry  and  cracked,  teeth  black,  and  covered  with  an  accu- 
mulation of  filth,  abdomen  swollen,  breathing  short  and  quick,  voice 


GENERAL  DISEASES. 


73 


low  and  muttering,  burning  heat  at  the  pit  of  the  stomach,  nausea  and 
vomiting,  especially  after  eating  or  drinking,  extreme  prostration, 
and  loss  of  strength. 

Phosphoric  Acid.  — Great  weakness,  the  patient  lying  constantly 
on  his  back,  talking  in  a random  way,  picking  at  the  bed-clothes, 
with  a fixed  look,  and  eyes  hollow  and  glassy. 

Bryonia.  — Face  red  and  swollen,  breathing  difficult  and  short 
or  sighing,  lips  brown  and  dry,  mouth  dry  and  coated  with  a yel- 
lowish fur,  fullness  and  oppression  in  the  head,  worse  on  move- 
ment, buzzing  in  the  ears,  dryness  in  the  throat,  constipation. 

Opium.  — When  there  is  great  dryness,  with  breathing-like  snor 
ing,  low  mutterings,  discharges  from  the  bowels  and  bladder  pass 
ing  away  involuntarily. 

Lachesis.  — May  be  given  for  these  same  symptoms,  especially  if 
the  tongue  is  dry  and  red,  and  shining  as  if  varnished. 

Hyosciamus.  — When  the  face  is  hot  and  red,  eyes  sparkling 
twitching  of  the  muscles,  furious  delirium,  the  patient  having  , 
desire  to  escape. 

Carlo.  Vegetabilis.  — This  may  be  given  in  alternation  with 
Arsenicum,  when  the  following  symptoms  are  present:  counte 
nance  pinched  and  sunken,  face  pale  and  dingy  or  yellow,  eyes 
sunken  and  glazed,  cold  sweat,  discharges  from  the  bowels  putrid 
and  offensive,  heavy  pressing  or  drawing  pains  in  the  head,  rattling 
in  the  throat,  cramp-like  or  burning  pains  in  the  stomach  and  bow- 
els ; bowels  swollen,  and  tender  on  pressure. 

Rhus-  Tox.  — This  remedy  is  appropriate  in  all  stages  of  the 
disease,  especially  when  the  patient  is  stupid,  and  there  are  shoot- 
ing pains  in  the  head,  dry  burning  heat,  stiffness  of  the  neck,  with 
wandering  pains  which  are  increased  by  motion,  diarrhoea,  with 
chilliness  and  dizziness  ; dryness  of  the  throat,  pressure  in  the  eyes, 
and  sensibility  to  light  and  noise.  If  at  any  time  the  patient  is 
sleepless,  give  Coffea  and  Belladonna  alternately  (turn  about) ; 
every  hour  a dose. 

If  the  skin  is  cold  and  clammy,  and  there  are  clammy  sweats, 
give  Camphor,  which  should  be  alternated  with  Coffea  if  the 
patient  becomes  restless. 

After  the  fever  is  broken  and  the  patient  begins  to  recover, 
either  China,  Mercury,  or  Sulphur,  may  be  given. 

Administration  of  Remedies . — Dissolve  twelve  globules  in  twelve 
teaspoonsful  of  water,  and  give  a teaspoonful  every  half  hour,  hour, 
or  two  hours,  according  to  the  urgency  of  the  symptoms. 

ALLOPATHIC. 

Frequent  spongings  with  water,  cold  or  warm,  according  * > the 
feelings  of  the  patient,  should  be  used.  If  there  is  diarrb  3a,  it 
may  be  restrained  with  a little  brandy  ; or  the  following  : 


74 


OUR  FAMILY  PHYSICIAN. 


Dover’s  Powder, 

-J-  drachm. 

Prepared  Chalk, 

- 1 scruple. 

Mix,  and  divide  into  12  powders. 

Give  a powder  every  two 

three  hours,  as  necessary. 

If  the  bowels  are  costive,  give  an 

injection  of  warm  water  ; 

the  following  mixture  may  be  taken : 

Castor  Oil,  .... 

1 ounce. 

Yolk  of  an  egg. 

Mix  these,  and  add 

Simple  Syrup, 

£ ounce. 

Peppermint  Water, 

1 to  2 ounces. 

Mix,  and  take  at  one  draught.  Or  this  ; 

Rhubarb,  .... 

10  grains. 

Calcined  Magnesia, 

drachm. 

Mix,  and  take  at  one  dose,  in  Syrup  or  Molasses. 

If  the  head  is  hot,  the  hair  should  be  cut,  and  the  head  then 
Kept  cool  by  sponging  with  ice  water,  or  vinegar  and  water,  and 
leeches  should  be  applied  to  the  temples. 

If  there  is  sleeplessness,  give  25  or  30  drops  of  Laudanum. 

To  reduce  the  fever,  and  produce  perspiration,  from  3 to  10 
drop  doses  of  the  Tincture  or  fluid  extract  of  Veratrum  Yiride, 
every  hour  until  the  fever  subsides. 

Where  the  bowels  are  much  swollen,  poultices  of  hops  or  linseed 
meal  may  be  used.  If  the  mouth  is  foul,  a weak  infusion  of  black 
tea  may  be  given. 

If  there  is  bleeding  from  the  boweL  and  great  weakness,  let  the 
patient  have  wine  and  broth.  When  the  fever  runs  low,  Quinine 
should  be  given  in  moderate  doses.  A good  stimulating  drink  is 
made,  by  dissolving  one  drachm  of  Chloride  of  Potash  in  a pint  of 
water,  which  may  be  taken  as  the  patient  desires. 

As  a stimulating  mixture,  the  following  may  be  used  : 


Decoction  of  Bark, 

7 ounces. 

Compound  Tincture  of  Bark, 

- 6 drachms. 

Syrup  of  Orange  Peel,  - 

2 

Diluted  Sulphuric  Acid, 

• 1 drachm. 

Dose,  two  tablespoonsful,  three  times 

a day.  Or  this 

Tincture  of  Orange  Peel. 

4 drachms. 

Tincture  of  Laudanum. 

- 2 “ 

Bicarbonate  of  Soda. 

2 scruples. 

Infusion  of  Calumba,  sufficient  to  make 

- . 6 ounces. 

Mix.  Dose,  a tablespoonful,  three  times  a day. 

Note . — It  is  not  advisable  that  Typhoid  fever  be  treated  by  any 
one  but  a competent  physician, 


GENERAL  DISEASES. 


75 


Bbain  Fever,  or  Inflammation  of  the  Brain. 

This  is  known  by  different  names  among  medical  men,  but  the 
one  term,  Inflammation  of  the  Brain,  includes  all  the  different  forms 

of  it. 

Causes . — Persons  who  are  of  full  habit,  short  neck  and  rich 
blood,  are  more  liable  to  attacks  of  this  disease  than  others  ; the 
exciting  causes  are  blows,  falls  upon  the  head,  exposure  of  the 
head  to  the  direct  rajs  of  the  sun  or  intense  artificial  heat,  long 
continued  and  hard  study,  cold,  fatigue,  intemperance,  violent  ex- 
ercise, excessive  anger,  driving  in  of  eruptive  diseases,  sometimes 
caused  by  disease  of  the  bones  of  the  ear,  fractures  of  the  skull, 
and  want  of  sleep.  It  often  occurs  during  Pneumonia,  Scarlet 
Fever,  Erysipelas,  and  affections  of  the  bowels. 

Symptoms.  — It  may  come  on  gradually,  or  very  suddenly  ; 
more  commonly,  however,  the  former.  Where  it  i3  gradual  in  its 
approach,-  the  patient  is  troubled,  for  some  considerable  length  of 
time,  with  uneasiness,  depression  of  spirits,  wakefulness,  dizziness, 
ringing  in  the  ears,  poor  appetite,  anxiety,  sadness  and  irritability, 
singing  and  noises  in  the  head,  frightful  dreams,  trembling  of  the 
limbs,  nausea,  vomiting,  eyes  bloodshot  and  very  sensitive  to  light. 

As  the  disease  progresses,  the  patient  ha3  more  or  less  of  chill  and 
constant  headache,  which  sometimes  is  exceedingly  severe.  These 
are  followed  by  violent  fever,  hot  and  dry  skin,  anxious  expression 
of  countenance,  face  flushed,  pupils  of  the  eyes  contracted  almost 
to  the  size  of  a pin-hole,  pulse  very  rapid  and  hard,  breathing  quick, 
akin  hot  and  sometimes  moist,  tongue  clammy  and  covered  with 
whitish  fur.  Vomiting  sometimes  occurs  from  the  commencement, 
and  this  is  one  of  the  most  characteristic  symptoms.  The  patient 
is  very  delirious. 

As  the  disease  progresses,  the  delirium  passes  into  stupor,  from 
which  the  patient  is  aroused  with  difficulty.  The  pupils  of  the 
eyes,  which  were  contracted,  are  now  dilated  and  the  eye  loses  its 
brightness.  Sometimes  there  is  squinting,  and  the  countenance 
has  a vacant  look.  Liquids  lie  in  the  mouth  without  being  swal* 


76 


OUR  FAMILY  PHYSICIAN. 


lowed,  or  are  allowed  to  run  from  it.  The  patient  picks  at  the 
bed-clothes  and  grasps  at  the  air.  The  hearing  is  very  much 
diminished,  and  all  the  senses  are  more  or  less  blunted.  The 
breathing  is  deep,  slow  and  sometimes  snoring.  The  urine  is 
very  scanty,  and  is  sometimes  retained  without  the  consciousness 
of  the  patient,  in  which  case  it  is  necessary  that  the  bladder  should 
be  emptied.  Convulsions  may  ensue  at  this  stage,  instead  of  the 
great  excitement.  The  patient  shows  signs  of  weakness  and 
exhaustion  ; the  pulse  becomes  feeble,  frequent,  and  thread-like, 
countenance  pale  and  sunken,  and  the  skin  is  covered  with  a cold 
and  clammy  perspiration.  The  urine  passes  away  without  the 
knowledge  of  the  patient,  who  dies  in  a state  of  profound  insensi- 
bility. 

This  is  the  more  regular  course  of  the  disease,  but  it  may  vary 
and  in  many  instances  some  of  these  symptoms  may  be  absent. 

In  some  cases  the  attack  is  preceded  by  convulsions,  on  the  ces- 
sation of  which,  the  patient  may  either  be  conscious  or  remain  in 
a stupid  condition.  The  disease  may  last  from  twenty-four  hours  to 
seven  or  eight  weeks,  but  the  average  is  about  four  or  five  weeks. 

GENERAL  TREATMENT. 

Cold  water  or  ice  should  be  applied  to  the  head,  and  the  diet 
should  be  light,  as  in  all  fevers.  The  patient  may  be  allowed  toast- 
water  and  barley  water,  lemonade  or  orange-juice,  all  of  which 
should  be  given  in  small  quantities.  During  recovery,  the  diet 
should  be  carefully  regulated  and  the  bowels  and  bladder  watched. 

HOMEOPATHIC. 

Cold  water  is  of  first  importance.  It  should  be  applied  to  the 
head  regularly,  and  the  head  should  not  be  allowed  to  become  hot. 
It  is  better  to  use  cold  water  than  ice. 

Aconite  — When  the  patient  has  high  delirium,  burning  pains  in 
the  head,  particularly  in  the  forehead,  face  red,  eyes  bloodshot,  skin 
hot  and  dry.  If,  after  six  hours,  there  is  no  improvement,  Bella- 
donna should  be  given  in  alternation  (turn  about)  with  Aconite, 
and  especially  when  the  following  symptoms  are  present  : great 
heat  of  the  head,  face  red  and  bloated,  violent  beating  of  the 
arteries  of  the  neck  and  temples,  dryness  of  the  mouth,  tongue 
and  throat ; swallowing  difficult,  nausea  and  vomiting,  dizziness, 
sensitiveness  to  noise  and  light  ; eyes  bloodshot  and  brilliant,  with 


GENERAL  DISEASES 


77 


a wild  expression,  violent  delirium,  diarrhoea,  shooting  pains  in  the 
head,  low  mutterings  and  convulsions. 

Hyosciamus.  — Stupor,  less  of  consciousness,  delirium,  sudden 
starting,  singing  and  muttering,  smiling,  picking  at  the  bed-clothes, 
desire  to  escape,  involuntary  discharge  of  urine. 

Stramonium.—  Face  red,  staring  look  in  the  eyes,  sleeping  natu- 
ral, but  with  twitching  and  tossing  about. 

Bryonia. — Constant  inclination  to  sleep,  sudden  starting  from 
sleep,  and  delirium,  starts,  sighs  and  screams,  burning  and  shoot- 
ing pains  in  the  head,  and  cold  sweat  on  the  forehead. 

Bryonia  may  be  given  when  Belladonna  and  Aconite  seem  to  be 
indicated,  but  do  not  afford  relief. 

Opium.  — Drowsiness  with  heavy  breathing,  eyes  half  open,  con- 
fusion and  giddiness  after  waking,  chilliness  or  indifference  to 
everything.  If  at  any  time  during  the  disease,  the  patient  is 
very  restless  and  sleepless,  Coffea  and  Belladonna  may  be  given 
in  alternation  (turn  about,)  a dose  every  hour.  While  these 
remedies  are  being  given,  the  others  should  be  discontinued. 

Other  remedies  are  Zincum,  Apis  Mellifica,  Rhus-Tox,  Lachesis, 
and  Sulphur. 

Administration  of  Remedies.  — Dissolve  twelve  globules  of  the 
selected  remedy,  in  twelve  teaspoonsful  of  cold  water,  and  give 
a teaspoonful  every  one,  two  or  three  hours,  according  to  the 
urgency  of  the  symptoms. 

ALLOPATHIC. 

It  is  of  great  importance  that  the  treatment  should  be  begun 
promptly  and  early.  When  the  pulse  is  full,  bleeding  should  be 
resorted  to,  and  continued  until  it  goes  down.  When  the  blood 
cannot  be  taken  from  the  arm,  twelve  or  more  leeches  should  be 
applied  to  the  temples  and  the  back  of  the  neck.  The  head  should 
be  shaved,  and  cloths  wet  in  cold  water  or  ice-water  applied  to  it ; 
or  powdered  ice  in  a bag  laid  upon  the  head.  A full  dose  of  Calo- 
mel should  be  given  at  this  stage,  from  five  to  ten  grains,  with  an 
equal  quantity  of  Jalap.  Blisters  and  mustard  poultices  should  be 
applied  to  the  calves  of  the  leg.  If  there  is  any  objection  to  Cal- 
omel, the  following  may  be  given: 

Pulverized  Gamboge,  ....  12  grains. 

Pulverized  Scammony,  - - - - 12  u 

Elaterium,  ......  2 u 

Croton  Oil,  ------  8 drops. 

Extract  of  Stramonium,  ...  3 grains 

Mix.  Make  into  twelve  pills.  Dose,  one  pill  every  hour,  until 
an  operation  is  produced. 


78 


OUR  FAMILY  PHYSICIAN. 


After  the  stage  of  excitement,  when  the  patient  becomes  weak, 
and  the  pulse  feeble,  countenance  pale,  and  extremities  cold,  wine 
or  other  stimulants  should  be  given,  and  blisters  should  be  applied 
to  the  back  of  the  neck  or  behind  the  ears. 

If  the  patient  is  sleepless,  two  grains  of  Acetate  or  Muriate  of 
Morphine,  dissolved  in  four  ounces  of  water  should  be  given,  a 
tablespoonful  every  two  or  three  hours,  until  sleep  is  procured. 

To  keep  the  bowels  open  after  the  first  dose  of  Calomel  has  been 


given,  the  following  may  be  used: 
Calomel, 

6 to  8 grains. 

Ipecac,  - 

4 “ 

Prepared  Chalk, 

drachm. 

Digitalis,  ..... 

3 grains. 

Make  into  twelve  powders.  Give 

sufficient  quantity  to  keep 

the  bowels  well  open. 

If  this  remedy  should  cause  frequent  vomiting,  from  one-third 
of  a grain  to  a grain  of  Extract  of  Hyosciamus  should  be  added 
to  each  dose. 


ECLECTIC  AND  HERBAL. 

When  the  symptoms  first  appear,  bathe  the  feet  in  warm  water, 
to  which  has  been  added  a little  Saleratus  or  Ashes.  This  should 
be  done  two  or  three  times  a day.  Apply  cold  water  to  the  face, 
head  and  neck.  Open  the  bowels  with  a mixture  composed  of 
equal  proportions  of  Mandrake  root  and  Cream  of  Tartar,  with  a 
little  cloves  added.  A teaspoonful  of  this  should  be  given  every 
hour,  until  an  operation  is  produced.  Jalap  and  Cream  of  Tartar 
may  be  given,  if  the  Mandrake  root  cannot  be  procured.  This 
should  be  continued,  a dose  every  morning  and  evening,  until  the 
patient  is  past  danger.  Mustard  poultices  should  be  applied  to  the 
back  and  neck  and  over  the  stomach. 

To  promote  perspiration,  use  equal  parts  of  Lobelia  and  Blood- 
root  and  Wine  of  Ipecac,  given  in  equal  doses,  once  an  hour.  If 
the  tinctures  cannot  be  procured,  these  three  articles  may  be  given 
in  powders,  in  doses  of  from  six  to  ten  grains.  If  the  headache  is 
severe,  warm  poultices  of  hops  mixed  with  vinegar  should  be 
applied,  and  if  the  patient  is  restless  and  unable  to  sleep,  he  may 
drink  freely  of  hop  tea. 

When  the  patient  becomes  stupid,  and  is  aroused  with  difficulty, 
Carbonate  of  Ammonia  may  be  given  with  a little  ale  or  porter,  to 
which  is  added  one-fourth  of  a grain  of  Calomel,  and  half  a grain 
of  Sulphate  of  Quinine.  This  may  be  repeated  as  often  as  re- 
quired. The  patient  may  be  allowed  to  drink  lemonade,  water 
that  is  made  acid  with  a little  Cream  of  Tartar,  or  Spearmint  tea, 
with  a little  sweet  Spirits  of  Nitre  in  it. 


GENERAL  DISEASES. 


79 


Remittent  or  Bilious  Fever. 

This  disease  resembles  Intermittent  fever,  being  produced  gener- 
ally by  the  same  causes.  In  Intermittent  fever,  however,  the  par- 
oxysms return  at  certain  times,  and  in  subsiding  leave  the  patient 
free  from  all  symptoms  of  fever,  while  in  Remittent  fever,  the 
fever  only  abates,  and  is  irregular  in  the  time  of  its  appearance. 

Causes. — It  is  undoubtedly  caused  by  malaria,  (poisonous  sub- 
stance arising  from  decaying  animal  and  vegetable  matter.)  It  is 
more  likely  to  attack  persons  of  weak  digestion,  or  those  who  are 
of  intemperate  habits.  Overloading  the  stomach,  anger,  fear,  or 
taking  cold,  also  cause  it. 

Symptoms. — It  is  usually  preceded  by  weakness,  lowness  of 
spirits,  yawning  and  stretching,  loss  of  appetite,  more  or  less  of 
pain  in  the  head,  and  flashes  of  heat  and  cold.  These  symptoms 
may  continue  for  several  days,  before  the  disease  is  fully  devel- 
oped. The  coldness  gradually  increases  until  it  is  a well  marked 
chill.  This  chill  is  succeeded  in  a few  moments,  by  flashes  of  heat, 
and  in  the  course  of  two  or  three  hours,  the  whole  surface  of  the 
body  becomes  hot.  The  patient  complains  of  pain  and  sense  of  full- 
ness and  weight  in  the  head,  pain  in  the  back  and  limbs,  particularly 
in  the  calves  of  the  legs,  great  weakness,  hurried  and  difficult  breath- 
ing, face  flushed,  heat  and  dryness  of  the  skin,  nausea,  vomiting,  and 
thirst.  The  pulse  is  full  and  frequent,  bowels  are  costive,  and 
tongue  covered  with  white  fur. 

This  fever  may  continue  from  eight  to  twelve,  or  even  twenty- 
four  hours,  when  the  skin  becomes  moist,  the  pulse  falls,  and  the 
patient  drops  into  a refreshing  sleep. 

In  severe  cases,  however,  the  skin  may  continue  hot  and  dry, 
the  patient  will  be  restless,  and  the  fever  will  rise  again  in  the 
course  of  a few  hours. 

One  of  the  most  peculiar  features  of  this  disease,  is  the  yellow- 
ness of  the  skin,  and  the  white 'of  the  eye.  This  makes  its  appear- 
ance from  the  third  to  the  fifth  day  of  the  disease,  and  sometimes 
at  the  commencement.  The  yellow  matter  may  be  thrown  out  on 


80 


OUR  FAMILY  PHYSICIAN. 


the  surface,  so  that  it  will  stain  a white  handkerchief  yellow,  when 
rubbed  on  the  skin. 

The  disease  may  continue  for  a few  days,  or  may  last  for  two  or 
three  weeks,  and  may  terminate  in  a real  Intermittent  or  Typhoid 
fever,  unless  the  patient  should  recover.  About  the  period  of  con- 
valescence an  eruption  appears  on  the  lips,  which  is  regarded  as  a 
favorable  indication. 


GENERAL  TREATMENT. 

The  diet  should  be  of  the  lightest  kind,  such  as  gruels,  light  bread, 
black  tea  and  toast,  coffee  without  milk  or  sugar.  The  patient 
may  be  allowed  to  hold  ice  in  the  mouth,  and  for  drink,  lemonade, 
apple-water,  or  water  flavored  with  current  or  blackberry  jelly. 
A beverage  very  acceptable  sometimes  is  made  from  weak  molasses 
and  water,  with  a little  lemon  juice,  and  a piece  of  toast  with  ice. 

As  the  disease  continues,  Gumarabic  water  or  barley  water  may 
be  used. 

If  the  patient  becomes  very  weak,  and  typhoid  symptoms  arise, 
beef  tea,  milk  punch  or  wine  and  egg,  may  be  allowed. 

During  recovery,  bread  and  butter,  toast,  boiled  rice,  meat 
broths,  soft  boiled  eggs,  oysters,  and  boiled  chicken  or  birds  may 
be  allowed.  The  apartment  should  be  cool  and  free  from  light. 
The  linen  should  be  often  changed,  and  the  room  ventilated  daily, 
and  purified  frequently  by  burning  sugar,  or  sprinkling  the  room 
with  lavender  water,  aromatic  vinegar,  or  other  disinfecting  agents. 

ALLOPATHIC. 

Before  the  fever  is  fully  developed,  it  is  well  to  give  an  emetic 
as  follows  : 

Pulverized  Ipecac,  ....  - 1 scruple. 

Pulverized  Cayenne,  • • - - - 10  grains. 

Water, 2 ounces. 

Mix,  and  take  at  one  dose. 

Or  this, 

Tartar  Emetic,  .....  1 grain. 

Ipecac  Powder,  ......  1 scruple. 

Syrup,  1 drachm. 

Mint-water, 10  drachms. 

Mix,  and  take  at  one  dose. 

Follow  this  emetic  by  a cathartic,  as  follows  : 

Rochelle  Salts, 2 drachms. 


GENERAL  DISEASES. 


81 


Bicarbonate  of  Soda,  - - * 2 scruples. 

Water, \ pint. 


Mix.  To  this  mixture,  add  twenty-five  grains  of  Tartaric  Acid. 


Take  the  whole  while  effervescing. 
Or  this, 

Powdered  Senna,  ..... 

^ ounce. 

Powdered  Jalap,  ..... 

10  grains. 

Powdered  Cloves,  ..... 

10  grains. 

Mix.  To  be  taken  at  one  dose  in  sweetened  water. 

If  the  bowels  do  not  yield  to  these  medicines, 

give  the  folio' 

mg: 

Senna,  ....... 

^ ounce. 

Manna,  ....... 

Sulphate  of  Magnesia,  .... 

Cardamon  or  Fennel  Seed,  * 

1 ounce. 

1 ounce. 

2 drachms. 

Boiling  water,  ..... 

1 pint. 

Mix.  Dose  a wine  glass  full  every  two  hours,  until  an  operation 
is  produced. 

If  the  disease  is  fully  developed,  the  patient  may  be  sponged  all 
over  two  or  three  tinn*?  a day,  with  cold  or  warm  water,  according 
to  his  feelings,  and  one  of  the  following  drinks  may  be  given  : 


Cream  of  Tartar,  .... 

£ ounce. 

Fresh  lemon  peel,  bruised,  - 

- 4 ounces. 

Loaf  Sugar,  ..... 

4 “ 

Boiling  water,  ..... 

- 3 pints. 

Mix,  and  after  standing  & while  strain. 
Or  this, 

Citric  Acid,  ..... 

1 drachm. 

Bi-carbonate  of  Fotassa, 

* \ “ 

Lemon  Syrup,  .... 

1 ounce. 

Water,  ...... 

• 6 “ 

Epsom  Salts,  ..... 

1 “ 

Mix.  Dose  two  tablespoonsful  every  four  hours  if  necessary. 

To  reduce  the  fever,  give  from  three  to  ten  drops  at  a dose,  of 
Tincture  or  Fluid  Kx tract  of  Veratrum  Viride,  or  the  compound 
powder  of  Ipecac  and  Opium. 

During  the  remission  of  the  fever,  or  when  the  fever  is  off,  the 
following  may  be  given  : 

Quinine, I scruple. 

Elixir  of  Vitriol,  - - • *1  drachm. 

Dissolve  the  Quinine  in  the  Elixir,  and  add  of  Tincture  of  Black 

6 


82 


OUR  FAMILY  PHYSICIAN. 


Cohosh  14  drachms.  Dose,  20  drops  in  a little  water,  once  an 

pour. 


Or  this, 

Sulphate  of  Quinine,  - - - • 12  grains 

Aromatic  Sulphuric  Acid,  - - - - 24  drops. 

Syrup,  .......  l ounce. 

Peppermint  water,  1 u 

Mix.  Dose,  a tablespoonful  once  in  two  or  three  hours. 


ECLECTIC  AND  HERBAL. 


In  the  hot  stage,  when  the  fever  is  on,  the  body  should  be  fre- 
quently  bathed  with  warm  weak  lye  water,  and  the  following  pre- 
paration given  internally  : 

Tincture  of  Gelseminum,  ...  £ ounce. 

Tincture  of  Aconite,  - - - - 20  drops. 

Mix.  Dose,  twenty  drops  in  a teaspoonful  of  water,  every  half 

hour  or  hour. 

After  the  fever  is  subdued  and  the  remission  occurs,  one  of  the 

following  may  be  given : 

Sulphate  of  Quinine,  - - * 14  grains. 

Water,  .......  l ounce. 

Sulphuric  Acid,  .....  14  drops. 

Mix.  Dose,  a teaspoonful  every  hour  during  the  remission. 

Or  this  : 

Sulphate  of  Quinine,  20  grains. 

Elixir  of  Vitriol,  .....  1 drachm. 

Mix,  and  dissolve  the  Quinine  ; add 


Tincture  of  Black  Cohosh  root, 
Tincture  of  Gelseminum, 


7 drachms. 
7 


Mix.  Dose,  20  drops  every  half  hour  or  hour,  in  a little  water. 

If  the  bowels  are  constipated  and  the  tongue  is  coated  dark, 
with  yellowness  of  the  eyes  and  skin,  the  first  dose  of  the  above 
mixture  may  be  preceded  by  a mixture  of  one-fourth  of  a grain  of 
Podophyllin  and  one  grain  of  Leptandrin,  which  may  be  repeated 
every  six  hours,  until  the  bowels  have  been  acted  upon. 

If,  however,  there  is  diarrhoea,  the  following  may  be  given  : 

Geranin,  ......  2 grains. 

Sulphate  of  Morphine,  - - - - grain. 

Take  at  one  dose,  and  repeat  every  two  or  four  hours,  until  the 
frequency  of  the  discharges  is  diminished. 

If  there  is  pain  in  the  abdomen,  and  tenderness  over  the  stomach 


GENERAL  DISEASES. 


88 


with  nausea  and  vomiting,  omit  the  preparations  of  Quinine  and 
allow  the  patient  to  drink  freely  of  an  infusion  of  peach  leaves 
and  marsh-mallow  root.  Apply  mustard  poultices  over  the  stom 
ach  and  bowels  and  along  the  spinal  column. 

Calumba  root  made  into  a tea,  is  very  valuable  in  this  disease, 
and  may  be  given  for  the  vomiting,  which  is  sometimes  very  trouble- 
some. Sometimes  the  vomiting  may  be  stopped  by  equal  parts  of 
milk  and  lime-water.  For  the  headache,  vinegar  and  water  may 
be  applied  to  the  head,  by  cloths.  If  the  patient  is  very  wakeful, 
a pillow  of  hops  may  be  used,  or  hop-tea  may  be  drank. 

If,  after  the  fever  is  broken,  the  patient  still  remains  weak,  and 
does  not  gain  strength  rapidly,  some  tonic  will  be  required  as  the 
following  : 

Take  Golden  Seal,  Juniper  berries,  Prickly  Ash  bark,  Wild 
Cherry  bark,  each,  coarsely  bruised,  one  ounce  ; Podophyllin  and 
Tansy,  of  each  half  ounce.  Pour  two  pints  of  boiling  water  on  these, 
cover  them  and  let  them  steep  on  ike  stove  for  an  hour;  when  cold, 
add  two  pints  of  whiskey  and  one  of  molasses  ; allow  the  mixture 
to  stand  for  a few  days  when  it  will  be  fit  for  use.  Dose,  a 
tablesroonful,  three  or  four  times  a day 


HOMEOPATHIC. 

Aconite.  — High  fever,  pulse  rapid,  tongue  coated  with  yellow 
fur,  bitter  taste  in  the  mouth,  vomiting  of  bitter  or  greenish  mat- 
ter, headache,  worse  on  talking.  - 

Bryonia . — Especially  suitable  in  summer,  in  hot  and  damp 
weather,  tongue  dry  and  coated  white  or  yellow,  thirst,  bitter  taste 
in  the  mouth,  desire  for  acids  and  wine,  vomiting  after  drinking, 
chilliness  or  heat,  with  dizziness,  which  is  worse,  after  drinking. * 
This  may  be  given  in  alternation  with  Rhus-Tox. 

Pulsatilla.  — Tongue  coated  white,  bitter  taste  in  the  mouth,  loss 
of  appetite,  chilliness,  with  languor. 

Nux  Vomica.  — Constipation,  with  frequent  and  ineffectual  efforts 
at  stool,  rheumatic  pains  in  the  head  and  body,  bitter  and  foul  taste 
in  the  mouth. 

Arsenicum.  — Colic,  or  burning  pains  in  the  stomach  and  bowels, 
sensitiveness  of  the  stomach  to  pressure,  burning  pains  in  a small 
spot  in  the  stomach,  great  weakness,  and  desire  to  lie  down, vomit- 
ing after  drinking  or  motion. 

Chamomilla.  — Bitter  taste  in  the  mouth,  loss  of  appetite,  nau- 
sea and  vomiting  of  green,  bitter  or  sour  liquid,  restlessness,  oppres- 
sion in  the  stomach. 

Mercury.  — Tongue  coated  white  or  yellowish,  and  moist,  sensi- 
tiveness at  the  pit  of  the  stomach  and  bowels,  which  is  worse  at 


84 


OUR  FAMILY  PHYSICIAN. 


night,  restlessness,  drowsiness  in  the  day-time,  and  sleeplessness  at 
night. 

China . — Loss  of  appetite,  loathing  of  food  and  drink,  chilliness 
and  shuddering  after  drinking,  diarrhoea  of  undigested  food.  This 
may  be  given  in  alternation  with  Phosphoric  Acid. 

Colocynth . — Vomiting  or  diarrhoea  after  eating,  colic,  and  cramps 
in  the  calves  of  the  legs. 

Tartar  Emetic.  — Constant  sickness  at  the  stomach,  with  desire 
to  vomit,  slight  vomiting  and  diarrhoea.  This  may  be  given  in 
alternation  (turn  about)  with  Bryonia. 

Veratrum.  — Tongue  dry  and  coated  yellow,  vomiting  of  bilious 
matter,  with  diarrhoea,  fainting  after  stool,  cutting  pains  in  the 
bowels. 

Cedron.  — Chilliness  towards  evening,  followed  by  fever,  with 
great  wakefulness  and  vomiting  of  bile. 

Administration  of  Remedies.  — Give  six  globules  of  the  selected 
remedy  every  two,  three,  or  four  hours,  or  dissolve  twelve  globules 
in  twelve  teaspoonsful  of  water,  and  give  a teaspoonful  at  a dose. 


GENERAL  DISEASES. 


85 


Intermittent  Fever,  or  Feyer  and  Ague. 

This  disease  is  characterized  by  paroxysms  of  fever  which 
occur  at  regular  intervals,  and  by  the  complete  absence  of  fever 
between  the  paroxysms.  Each  paroxysm  consists  of  three  distinct 
stages,  which  regularly  follow  one  another:  1st.  The  Cold  Stage; 
‘2d.  The  Hot  Stage  ; 3d.  The  Sweating  Stage. 

There  are  several  varieties  of  this  disease.  The  Quotidian, 
where  the  paroxysm  occurs  every  twenty-four  hours,  or  every  day  ; 
the  Tertian,  where  it  occurs  every  forty-eight  hours,  or  every  other 
day  ; the  Quartan,  where  it  occurs  every  seventy-two  hours  or 
every  third  day.  There  are  other  varieties  mentioned  by  authors, 
but  the  symptoms  and  treatment  are  about  the  same  as  those  of 
the  foregoing.  The  period  from  the  end  of  one  paroxysm  to  the 
commencement  of  another  is  called  the  intermission  or  apyrexia  ; 
while  the  period  from  the  commencement  of  one  paroxysm  to  that 
of  another,  is  called  the  interval. 

Symptoms.  — The  Cold  Stage  is  generally  preceded  by  feelings  of 
languor,  debility, uneasiness,  stretching,  yawning,  pains  in  the  back, 
head,  and  loins.  These  symptoms  continue  for  a time,  and  are  suc- 
ceeded by  a sensation  of  chilliness,  especially  in  the  limbs ; these 
increase  until  they  extend  over  the  whole  body  ; the  features,  and 
the  surface  of  the  body,  generally,  becomes  pale  and  shrunken,  and 
presents  the  rough  appearance  called  goose  flesh.  There  is  some- 
times a sensation  as  if  little  streamlets  of  ice  water  were  trickling 
down  the  back  ; the  patient  experiences  shiverings  and  tremblings, 
and  shudders  run  through  the  body  ; the  teeth  chatter,  and  the  bed- 
stead is  sometimes  shaken  with  the  violence  of  the  chill ; the 
breathing  is  rapid  and  laborious,  pulse  feeble,  and  the  tongue  dry 
and  white  ; blueness  of  the  lips  and  nails  ; sometimes  nausea  and 
vomiting.  This  stage  may  last  from  ten  minutes  to  three  or  four 
hours  ; on  the  average,  however  about  an  hour. 


80 


Om  FAMILY  PHYSICIAN. 


Hot  Stage  — As  soon  as  the  chill  begins  to  abate,  flushes  of 
heat  begin  to  pass  over  the  body,  and  are  rather  agreeable  than 
otherwise.  The  coldness  finally  ceases  and  is  succeeded  by  a dry, 
burning  heat ; the  countenance  is  flushed,  the  eyes  sparkle,  and  the 
mouth  is  dry  and  parched  ; the  temples  throb,  and  there  is  intense 
headache  ; the  pulse  is  usually  full  and  strong  ; the  urine  is  scanty 
and  high  colored.  This  stage  may  continue  from  two  to  eighteen 
hours,  or  more. 

Sweating  Stage.  — Perspiration  makes  its  appearance  on  the 
forehead  and  extremities,  and  soon  spreads  over  the  whole  surface 
of  the  body.  The  symptoms  of  fever,  and  the  pains  gradually  sub- 
side, the  pulse  falls,  the  mouth  becomes  moist,  and  the  patient  fre- 
quently falls  into  a calm  sleep,  and  awakes  feeling  almost  as  well 
as  usual. 

In  some  cases  these  stages  may  be  reversed,  or  one  or  more  of 
them  may  be  absent,  or  if  they  are  all  present,  only  a few  of  the 
above  symptoms  may  be  recognized. 

The  Quotidian  fever  usually  commences  in  the  morning ; the 
Tertian,  at  noon  ; and  the  Quartan  in  the  afternoon.  Ague  occurs 
generally  in  the  spring  and  autumn,  and  the  autumnal  agues  are 
the  most  severe. 

Causes.  — The  principal,  if  not  the  only,  cause  of  intermittent 
fever  is  marsh  miasma  or  malaria,  arising  from  the  decay  of  vegeta- 
ble matter.  The  time  which  elapses  from  the  exposure  to  the  mal- 
aria to  the  occurrence  of  the  fever  is  variable.  The  attack  may  not 
occur  for  months,  and  then  be  brought  on  by  the  system  becoming 
weakened,  by  damp  weather,  exposure  to  the  heat  of  the  sun,  over 
exertion,  a cold  bath,  or  even  a dose  of  purgative  medicine.  This 
miasma  wafted  by  the  winds,  adheres  or  clings  to  the  leaves  of 
trees  — hence  it  is  a good  plan  to  surround  the  house  with  groves 
of  trees.  Fires  destroy  the  poison. 

The  effect  of  ague,  when  the  disease  has  continued  for  a long 
time,  or  been  improperly  treated,  is  to  cause  enlargement  of  the 
liver,  (gall  cake,)  of  the  spleen,  (ague  cake,)  dyspepsia,  dropsy, 
diarrhoea,  etc. 


GENERAL  DISEASES. 


ST 


GENERAL  TREATMENT. 

The  patient  should  be  removed  to  a dry  habitation,  in  a district 
free  from  malaria.  The  clothing  should  be  warm,  the  food  plain, 
and  intemperance  in  cither  eating  or  drinking  should  be  strictly 
forbidden.  During  the  cold  lit,  give  warm  drinks,  as  barley  water, 
weak  tea,  hot  lemonade,  toast  water.  Place  heated  bricks  or 
bottles  of  hot  water  to  the  feet  and  along  the  body. 

During  the  fever  remove  some  of  the  bed-clothes,  so  that  un 
necessary  perspiration  may  not  be  excited.  At  the  close  of  the 
sweating  stage,  rub  olf  the  body  with  warm  towels,  and  change 
the  linen.  Ice  water  may  be  allowed  as  a drink  during  the  hot 
stage.  Flannel  should  always  be  worn  next  the  skin  by  persons 
subject  to  this  disease. 


ALLOPATHIC. 

Before  the  paroxysm  the  bowels  should  be  evacuated  with  the 
following  mixture  : 

Senna, 3 drachms. 

Epsom  Salts, drachm. 

Manna, ^ “ 

Fennel  Seed,  1 “ 

Boiling  water,  .....  1 pint. 

Let  the  mixture  stand  for  one  hour  in  a covered  vessel,  and 
strain.  Dose,  one  teacupful,  every  three  or  four  hours,  until  it 
operates. 

In  the  cold  stage  give  hot  drinks,  administer  hot  foot  baths,  and 
apply  bottles  of  hot  water  along  the  body. 

In  the  hot  stage  give  the  following : 

Laudanum, 1 ounce. 

Wine  of  Ipecac,  1 “ 

Spirits  of  Nitric  Ether,  - - - - 1 “ 

Mix.  Dose,  one  teaspoonful  every  hour,  unless  the  narcotic 
effects  are  decided,  when  it  may  be  given  at  longer  intervals.  It 
is  well  sometimes  to  give  the  tincture  of  Veratrum  Viride  in  doses 
of  five  drops  alternately  (turn  about)  with  the  above  preparation. 
During  the  sweating  no  medicine  need  be  given. 

In  the  intermission,  however,  is  the  time  when  the  disease  is  to 
be  successfully  dealt  with. 

As  soon  as  the  hot  and  sweating  stages  have  passed,  commence 
with  the  following  mixture  : 

Sulpnate  of  Quinine,  - - - - 16  grains. 

Aromatic  Sulphuric  Acid,  - - - ^-drachm. 

Simple  Syrup, 2 ounces. 

Peppermint  Water,  ....  2 “ 


88 


Om  FAMILY  PHYSICIAN. 


Mix.  Dose,  a tablespoonful  every  two  hours.  For  children,  2 
scruples  of  liquorice  may  be  added  to  the  above  preparation,  to 
disguise  the  taste.  Discontinue  the  medicine  during  the  paroxysm, 
and  use  the  treatment  before  mentioned.  When  the  disease  is 
once  broken,  give  the  above  mixture  three  times  a day  for  about 
two  weeks. 

Another  good  preparation  is  as  follows  : 

Quinine,  -------  20  grains. 

Elixir  of  Yitriol,  -----  l drachm. 

Dissolve  the  Quinine  in  the  Elixir,  and  add  Tincture  of  Black 
Cohosh  12  drachms.  Dose,  fifteen  or  twenty  drops,  in  a little 
water. 

The  web  of  the  spider  has  been  recommended  by  Dr.  Condie 
and  others,  made  into  pills  of  five  to  ten  grains,  with  syrup  or 
mucilage,  and  given  in  the  intenjnission,  every  two,  three  or  four 
hours. 

Another  mode  of  treatment  is  to  give  an  emetic  before  the 
paroxysm  is  expected,  so  that  it  may  be  in  full  operation  when  the 
cold  stage  begins.  About  the  best  is  a decoction  of  boneset, 
( Eujpatorium  Perfoliatum ,)  taken  warm  in  doses  of  a large  cupful. 
The  patient  must  be  in  bed,  and  will  be  thrown  into  a profuse  per- 
spiration, which  will  generally  ward  off  the  expected  chill. 

When  there  is  danger  of  a relapse,  after  the  chills  have  been 
once  broken,  it  is  well  to  continue  the  use  of  the  Quinine  in  doses 
of  four  or  five  grains,  daily,  for  several  months.  Wood  (Wood’s 
Practice)  recommends  an  infusion  of  wild  cherry  bark,  in  a dose 
of  a wine  glassful,  four  times  a day.  An  infusion  of  wormwood  is 
also  recommended,  to  be  given  twice  or  three  times  a day. 

ECLECTIC  AND  HERBAL. 

In  the  cold  stage  let  the  patient  drink  freely  of  warm  teas  of 
Catnip,  Pennyroyal,  Boneset,  Virginia  Snake  Root,  or  weak  Red 
Pepper  tea. 

In  the  hot  stage,  he  may  be  allowed  cold  lemonade,  currant  jelly 
water,  etc.  Mustard  poultices  may  be  applied  over  the  stomach 
and  bowels,  if  there  is  pain,  with  nau^ua  and  vomiting.  The  fol- 
lowing may  be  given  at  the  same  time  : 

Powdered  Rhubarb,  - - - - 12  grains. 

Saleratus,  - - - - - 5 u 

Sulphate  of  Morphia,  - - - 1-15  of  a grain. 

Take  this  at  one  dose  in  peppermint  water.  It  may  be  re- 
peated every  fifteen  or  twenty  minutes  if  necessary. 

In  the  sweating  stage  no  treatment  is  necessary,  unless  there  is 
great  weakness,  when  warm  brandy  or  whisky  toddy  may  be  given 


GENERAL  01  SEAS  EH. 


89 


In  the  intermission  the  system  must  be  strengthened  to  resist 
a return  of  the  ague.  The  Sulphate  of  Quinine  is  the  most  ex- 
tensively used  for  this  purpose.  The  following  is  an  excellent 
prescription  recommended  by  Dr.  Baum,  of  Louisville  : 

Sulphate  of  Quinine,  - - - - * 14  grains. 

Sulphuric  Acid,  .....  14  drops. 

Water,  -------  1 ounce. 

Mix  the  Quinine  with  the  water  and  add  the  acid. 

Dose,  one  teaspoonful  every  hour  in  a little  cold  water,  between 
the  paroxysms.  30  drops  of  Laudanum  and  30  drops  of  Sulphuric 
Ether,  taken  in  a little  water  before  the  chill  comes  on,  will  some- 
times prevent  an  attack. 

The  following  are  some  preparations  which  are  highly  recom- 
mended, and  may  be  found  useful  in  different  cases  : 

1.  — Quinine,  ......  12  grains. 

Extract  of  Dandelion,  ....  1 scruple. 

Oil  of  Black  Pepper,  - - - - 10  drops. 

Mix,  and  make  into  twelve  pills,  and  take  one  every  hour  on  the 
well  day  until  the  twelve  are  taken. 

2.  — Sulphate  of  Quinine,  ....  l scruple. 

Sulphuric  Acid,  - - - - 20  drops. 

Paregoric,  --  • - - - 1 ounce. 

Dissolve  the  Quinine  in  the  acid  and  add  the  Paregoric.  Mix, 
and  give  a teaspoonful  every  hour  for  six  hours. 

3.  — Sulphate  of  Quinine,  ....  8 grains. 

Extract  of  Stramonium,  1 grain. 

Sulphate'Of  Morphia,  ....  1 “ 

Mix  well,  and  divide  into  four  doses,  and  take  one  every  hour, 
commencing  four  hours  before  the  expected  chill. 

4.  — Take  a nutmeg  and  burn  or  char  it ; pulverize  it,  and  add  an 
equal  quantity  by  weight  of  burnt  alum  ; divide  into  three  pow’ders. 
Clear  the  bowels  with  a dose  of  Salts,  or  Castor  Oil,  and  give  a 
powder  when  the  chill  comes  on. 

5.  — Take  one  ounce  each,  coarsely  povrdered,  of  the  following  : 
Prickly  Ash  bark,  Wild  Cherry  bark,  Dogwood  bark,  Black  Co- 
hosh root,  Black  root,  or  Culver’s  root,  Cinnamon,  Cloves,  Cider, 
five  pints.  Let  them  steep  for  about  twenty-four  hours,  and  give 
two  tablespoonfuls,  three  times  a day. 

6.  — One  pint  of  sweet  milk,  and  one  large  tablespoonful  of  ground 
ginger  ; mix,  heat  over  the  fire,  and  drink  when  the  chill  is  about 
to  come  on.  Repeat  this  on  each  recurrence  of  the  chill. 


90 


OUR  FAMILY  PHYSICIAN. 


HOMEOPATHIC. 

Nitric  Acid  is  recommended  by  Prof.  N.  F.  Cooke,  of  Chicago, 
for  the  treatment  of  this  disease.  Mix  twelve  drops  of  the  chem- 
ically pure  acid,  with  four  ounces  of  distilled  water.  Give  a tea- 
spoonful every  three  hours,  without  regard  to  the  paroxysm. 
When  at  last  there  is  no  recurrence  of  the  chill  (as  for  instance,  if 
the  last  chill  was  on  Tuesday,  and  there  is  no  chill  on  Wednesday 
or  Thursday,)  give  the  acid  three  times  a day  for  a week  or  ten  days. 
Then  lengthen  the  intervals  to  twice  a day  for  two  weeks.  Then 
once  a day  for  another.  Then  every  other  day  for  another.  When 
this  treatment  is  ineffectual,  the  Professor  recommends  minute 
doses  of  Quinine,  given  as  follows: 

The  doses  should  be  a grain  each,  and  the  most  agreeable 
form  is  the  £ grain  sugar-coated  pill.  If  this  cannot  be  procured, 
the  powder  may  be  used.  Commence  giving  the  Quinine  after  the 
sweating  stage  has  ceased,  and  give  a dose  every  two  hours  if  the 
ague  is  quotidian,  (every  day,)  and  every  three  hours  if  the  ague 
is  tertian,  (every  other  day.)  Continue  the  medicine  until  the 
symptoms  of  the  next  chill  appear,  and  then  stop.  After  the 
paroxysm,  give  the  medicine  as  before,  and  continue  this  treatment, 
until  the  chills  are  broken.  During  the  paroxysm  give  whatever 
remedies  seem  to  be  indicated.  Aconite,  if  there  is  great  febrile 
(fever)  excitement.  Belladonna,  if  the  head  symptoms  are  prom- 
inent. Bryonia,  if  there  is  great  aching  of  the  bones,  etc. 

When  the  chills  have  at  last  been  broken,  give  the  Quinine  in 
the  same  doses,  for  several  weeks,  as  is  recommended  for  Nitric 
Acid. 

Other  remedies  which  may  be  given  as  they  seem  indicated,  are 
as  follows  : 

China. — Yellowish  color  of  the  skin  and  face;  during  the  chill, 
bilious  vomiting,  redness  of  the  face,  palpitation  of  the  heart; 
during  the  intermission,  cough,  yellowish  countenance,  weak  eyes, 
confusion  of  the  head,  dizziness,  thirst,  uneasy  sensation  in  pit  of 
stomach,  constipation,  general  debility.  Thirst  before  and  after 
the  shivering,  or  during  the  sweating  stage,  short  cough,  very  little, 
if  any,  thirst  during  the  cold  or  hot  stages.  Knorre  has  cured 
quotidian  fevers,  when  there  are  dizziness,  pale  and  cold  hands  and 
feet,  vomiting  of  mucus  during  the  chill,  pains  in  the  head,  sides, 
and  pit  of  stomach,  dry  and  jarring  cough,  and  drowsiness  during 
the  fever,  which  is  long  and  violent ; confusion  of  ideas  and 
drowsiness  during  the  paroxysm  and  intermission  ; anxiety  ; dis- 
couragement ; great  activity  of  the  mind;  sometimes  delirium. 
(Marcy  and  Hunt.)  Great  weakness  and  debility  ; patient  looks 
pale,  and  there  is  a want  of  vitality.  Sweat  even  during  the  in- 
termission. Dropsy,  chills  in  part  of  the  body,  with  heat  in  the 


GENERAL  DISEASES. 


91 


head,  terminating  in  fever  mingled  with  chills,  and  thirst,  and  fol- 
lowed by  sweating  ; fever  without  chills,  with  great  thirst  and 
profuse  perspiration. 

Arsenic.  — Face  puffed  and  of  an  earthy  color,  or  sunken  and 
yellowish  ; skin  feels  hot  and  burning  during  the  fever  ; face  red 
during  the  fever,  but  pale  and  sunken  during  the  intermission ; 
trembling  of  the  limbs  during  the  sweating  stage  ; tongue  bluish, 
white  or  bright  red  ; chills  and  heat  alternate  ; burning  pains  in 
the  stomach,  and  sharp  pains  in  the  limbs,  back,  head  and  chest 
during  the  fever ; during  the  sweating  stage,  heaviness  of  the 
head,  buzzing  in  the  ears  ; between  the  cold  and  hot  stage,  languor, 
drowsiness,  thirst,  nausea,  vomiting  and  hiccough ; perspiration 
during  sleep.  Hartlaub  recommends  it  for  chills  without  thirst, 
followed  by  fever  with  or  without  thirst,  and  then  by  perspiration  ; 
before  the  chill,  dizziness,  pains  all  over  the  body,  stretching  and 
yawning  ; during  the  chill,  pains,  stretching  and  yawning,  nausea 
and  vomiting,  oppression  of  the  chest ; during  the  fever,  delirium, 
pain  in  the  head,  dizziness  on  rising,  bitter  taste  in  mouth,  aching 
pain  in  region  of  the  liver ; during  the  intermission,  pale  counte- 
nance, white  tongue,  cold  clammy  sweat,  no  appetite,  swelling  of 
the  abdomen,  great  weakness.  Attacks  generally  come  on  in  the 
morning  or  evening.  Fever  with  flashes  of  heat,  and  great  aching 
of  the  bones. 

Nux  Vomica. — External  heat,  with  internal  chilliness,  or  inter- 
nal heat,  with  external  chilliness.  During  the  chills,  hands,  face, 
skin  and  nails  are  bluish  and  cold  ; yawning  and  stretching  ; one  or 
both  cheeks  red ; profuse  sweat  with  an  acid  smell ; first  stage  pre- 
ceded by  external  and  internal  cold,  and  yawning  ; chills  at  night, 
or  in  the  morning  ; during  the  hot  stage,  headache,  dizziness,  nau 
sea,  thirst.  Shaking  chills  with  thirst,  followed  by  fever  with 
thirst,  and  perspiration  ; motion,  during  the  fever  or  sweat,  causes 
chills.  During  the  intermission  there  are  headache,  loss  of  appe- 
tite, bad  taste  in  the  mouth,  pain  in  the  stomach  after  eating,  con- 
stipation, much  thirst,  weakness. 

Ipecac.  — Before  the  cold  stage,  stretching  and  lassitude,  with 
cold  sweat  on  forehead.  Slight  chills  followed  by  great  heat,  or 
severe  chills  followed  by  slight  heat  ; chills  increased  by  heat  being 
applied  externally  ; thirst  only  during  the  chill  ; oppression  of  the 
chest  ; nausea  and  vomiting.  During  the  intermission,  food  tastes 
bitter  ; loss  of  appetite;  vomiting  after  eating;  sleeplessness. 

Bryonia. — Before  the  cold  stage,  dizziness,  headache,  and  lan- 
guor ; first  stage  comes  on  with  severe  chills  and  trembling,  and 
heat  in  head  ; second  stage,  with  heat  and  chills  alternating,  after- 
wards great  heat  and  thirst ; spasmodic  cough  ; shooting  pains  in 
side  and  abdomen  ; after  the  heat,  great  sweat,  oppression  of  the 
chest,  with  dry  cough,  tendency  to  sweat  night  and  morning  ; dur 


92 


OUR  FAMILY  PHYSICIAN. 


ing  the  intermission,  constipation,  thirst,  yellowish  complexion, 
and  night  sweats. 

Pupatorium  Perfoliatura . — Slight  chills  come  on  before  the  com- 
mencement of  the  first  stage,  dizziness,  heaviness  and  ringing  in 
the  head  during  the  cold  stage  ; partial  chills  in  the  back  and  ex- 
tremities ; hot  stage  commences  with  slight  chills,  alternating  with 
flushes  of  heat,  until  the  fever  becomes  general  ; nausea  and  vomit- 
ing of  bilious  matter  at  the  conclusion  of  the  chill  ; chill  begins  at 
nine  o’clock  in  the  morning  ; aching  pains  in  the  bones  ; throbbing 
headache  during  the  chill  and  heat ; thirst  several  hours  before  the 
chill,  continuing  during  the  chill  and  heat  ; little  or  no  perspiration  ; 
tenderness  of  the  abdomen  on  pressure  ; constant  inclination  to 
sleep  ; night  sweats. 

Cedron. — -Paroxysms  come  on  at  8 o’clock  in  the  evening,  pre- 
ceded by  depressed  spirits,  pressing  headache,  and  dullness  of  senses  ; 
mouth  dry,  great  thirst  ; cramps,  with  tearing  and  contracting 
pains  in  arms  and  legs,  and  cold  sensation  in  hands  and  feet  ; pal- 
pitation of  the  heart  ; chills  and  shiverings.  These  symptoms  con- 
tinue for  one  or  two  hours,  and  are  followed  by  a sensation  of  dry 
heat,  and  then  a profuse  perspiration,  full  and  quick  pulse,  and  red 
face  ; in  the  intermission  cold  and  pale  ; thirst  and  desire  for  wrarm 
drinks.  (Marcy  and  Hunt.) 

Pulsatilla. — Long  chill,  little  heat,  and  no  thirst.  Symptoms 
of  dyspepsia.  Chills  commence  with  vomiting.  Chills  and  heat 
return  at  the  same  time  each  day.  During  the  chill,  paleness  of 
the  face,  headache  with  heaviness  ; sometimes  vomiting  of  mucus, 
and  oppression  of  the  chest.  During  the  heat,  headache,  redness 
of  the  face,  bloated  appearance,  sighing,  complaining,  anxious 
breathing,  nausea,  diarrhoea,  followed  by  sweat,  fainting  spells  ; in 
women,  stoppage  of  the  menses.  During  the  intermission,  head- 
ache, seething  of  the  blood,  palpitation  of  the  heart,  moist  cough, 
and  inclination  to  weep. 

Natrum  Muriaticum. — Violent  headache  during  the  chilliness 
and  heat,  wfith  dimness  of  sight,  amounting  almost  to  partial  loss 
of  consciousness  ; pains  in  the  bones,  yellowish  complexion  ; fever 
blisters  on  the  lips  ; thirst  during  the  chill,  but  more  during  the 
heat ; slight  chilliness  with  yawning  and  stretching,  without  thirst, 
followed  by  high  fever  with  thirst,  then  perspiration  with  drowsi- 
ness and  sleepiness.  (Pulte.)  / 

Ignatia.  — For  nervous  intermittents,  especially  when  caused  by 
fright.  Thirst  only  during  the  chill  ; pain  in  the  bowels  during 
the  chill.  The  fever  begins  in  the  afternoon,  and  lasts  all  night. 
The  least  noise  increases  the  sufferings  of  the  patient. 

Veratrum  Album.  — External  chill,  and  cold  sweat,  particularly 
on  the  forehead,  and  internal  heat;  great  thirst,  especially  during 
the  chill  and  sweating ; watery  vomiting  and  diarrhoea ; corpse 


GENERAL  DISEASES. 


93 


like  cc!«f  of  the  face  ; cramps  ; delirium  ; great  anxiety  ; quick 
collapse  of  the  strength. 

Administration  of  Remedies.  — Dissolve  twelve  globules  in  twelve 
teaspoonfuls  of  water,  and  give  a teaspoonful  every  two  or  three 
hours,  continuing  the  medicines  during  the  paroxysm. 

Yellow  Fever. 

This  disease  is  characterized  by  yellowness  of  the  skin  and 
vomiting  of  a dark  fluid.  It  prevails  generally  in  warm  climates, 
and  a temperature  of  79  or  80  degrees,  continued  for  two  or  three 
months,  has  been  thought  necessary  for  its  production.  It  appears 
generally,  in  the  latter  part  of  summer  or  the  commencement  of 
autumn,  and  disappears  only  on  the  appearance  of  frost. 

Causes.  — Decaying  animal  and  vegetable  matter  and  crowded 
population.  The  exciting  causes  are  too  free  use  of  animal  food  or 
stimulants,  irregular  habits,  mental  anxiety,  depression  of  spirits, 
fear  and  grief,  exposure  to  the  air  and  hot  sun. 

Symptoms.  — The  symptoms  at  first  are  dizziness,  pains  in  the 
back  and  limbs,  chills,  nausea,  headache  and  sensation  of  faintness. 

Second  Stage.  — After  the  above  symptoms  have  continued  a few 
hours,  a reaction  occurs.  The  face  is  flushed,  skin  hot  and  dry, 
eyes  red  and  brilliant,  violent  pains  in  the  head,  back  and  limbs, 
distress  at  the  stomach,  breathing  rapid,  vomiting  of  acid,  bilious 
matter,  mouth  and  throat  dry,  with  great  thirst  and  sometimes 
delirium,  tongue  covered  with  a pasty  white  coat,  with  red  edges, 
and  the  mouth  is  sometimes  sore,  so  as  to  render  swallowing  diffi- 
cult. The  patient  complains  of  a feeling  of  weight  or  oppression 
at  the  pit  of  the  stomach,  and  the  stomach  is  very  irritable,  throw- 
ing off  everything  that  is  swallowed. 

After  these  symptoms  have  continued  for  twenty-four  or  thirty- 
six  hours,  the  patient  becomes  easier,  except  the  distressed  sensation 
in  the  stomach,  with  nausea  and  vomiting. 

This  stage  continues  for  a few  hours,  and  there  may  be  slight 
perspiration,  after  which  the  former  symptoms  return  in  an  aggra- 
vated form.  The  stomach  now  becomes  extremely  painful,  burning 


94 


OUR  FAMILY  PHYSICIAN. 


and  sensitive.  The  vomiting  is  violent  and  incessant,  with  great 
thirst,  and  the  fluids  which  are  thrown  from  the  stomach  are  of  a 
dark  color.  The  skin  and  eyes  become  yellow,  and  the  patient  is 
restless  and  wandering.  The  pains  in  the  head,  back  and  limbs  are 
less  violent  than  before,  and  the  pulse,  tongue  and  skin  may  be 
very  natural. 

This  stage  may  continue  from  twelve  to  forty-eight  hours, 
when  the  last  stage  sets  in,  and  this  stage  is  characterized  by  vom- 
iting of  a greenish,  yellowish,  brownish  or  claret  colored  substance, 
which  is  called  black  vomit.  The  temperature  of  the  skin  falls 
below  the  natural  standard;  the  patient  rapidly  becomes  weak  ; 
the  pulse  sinks  ; the  tongue  becomes  dry,  black  and  shriveled  ; the 
breathing  irregular  and  laborious  ; cramps  seize  the  bowels,  and  the 
calves  of  the  legs  ; the  countenance  becomes  pinched,  and  loses  its 
life-like  expression ; the  extremities  become  cold ; diarrhoea,  sweats, 
and  hemorrhages,  or  bleeding,  occur,  and  convulsions  finally  end 
the  scene. 

TREATMENT. ECLECTIC  AND  HERBAL. 

At  the  commencement  of  the  attack,  an  emetic  of  the  compound 
powder  of  Lobelia  may  be  given,  after  which  the  bowels  should  be 
emptied  with  the  following,  which  has  been  highly  recommended  : 

Vinegar  and  Castor  Oil,  each,  - - ^ wineglassful. 

Salt,  -------  1 teaspoonful. 

Mix,  for  a dose,  and  repeat  every  hour  until  it  operates. 

To  allay  the  fever,  cold  water  may  be  applied  to  the  surface  of 
the  body,  and  it  is  recommended  that  the  patient  be  placed  in  a 
tub,  or  some  other  convenient  vessel,  and  large  streams  of  cold 
water  poured  on  the  neck  and  body  until  the  face  becomes  pale, 
after  which  the  patient  should  be  rubbed  briskly  and  placed  in  a 
warm  bed.  During  the  cold  stage  of  the  disease,  apply  a large 
blister  over  the  stomach,  and  give  the  following  : 

Podophyllin,  ------  1 grain. 

Leptandrin,  .....  2 grains. 

Mix  in  a mortar  with  10  grains  of  white  sugar,  and  take  at  one 
dose  ; repeat  it  every  four  hours.  This  will  allay  the  vomiting. 

[f  the  chill  continues  for  a long  time,  put  the  patient  into  a 


GENERAL  DISEASES. 


95 


warm  bath,  in  which  mustard  should  be  mixed,  and  teas  of  spear- 
mint, peppermint,  catnip  or  sage  should  be  drunk  to  induce  per- 
spiration. 

Sulphate  of  Quinine  may  be  given  in  doses  of  from  4 to  6 
grains  every  hour  or  two.  Lemonade  and  cider  vinegar  should  be 
drank  freely.  If  the  stomach  cannot  retain  this  preparation,  the 
following  may  be  given  by  injection  : 

Sulphate  of  Quinine,  12  graing. 

Tartaric  Acid,  - - - - - 12  “ 

Lemonade  or  Lemon  juice,  ...  1 ounce. 

Mix,  and  use  for  an  injection  ; repeat  every  hour  or  two  if 
necessary. 

Dr.  Nott,  of  Mobile,  recommends  creosote  to  be  given  during  the 
fever  ; after  the  bowels  have  been  opened,  20  drops  of  creosote  to 
6 ounces  of  spirit  of  Mindererus,  with  alcohol  enough  to  dissolve 
the  creosote.  Give  a tablespoonful  every  two  hours.  Sponging 
the  skin  with  cold  water  and  vinegar,  will  relieve  the  heat  and 
dryness.  Mustard  poultices  may  be  applied  along  the  spinal  col- 
umn. 

During  the  stage  of  remission  or  collapse,  Quinine  should  be 
continued  ; oil  of  turpentine  has  also  been  found  useful  in  this 
stage  of  the  disease.  Give  10  or  15  drops  with  2 or  3 grains  of 
Capsicum  in  Lemonade  or  other  acid  drink,  every  hour  or  two. 

If  the  patient  is  very  much  prostrated,  the  following  may  be 
given  : 

Brandy,  ......  4 ounces. 

Sulphate  of  Quinine,  - - * -£•  drachm. 

To  which  one  or  two  ounces  of  Oil  of  Turpentine  may  be  added, 
if  necessary.  Give  a tablespoonful  every  half  hour  or  hour. 

As  the  patient  recovers,  great  care  must  be  taken  to  prevent  & 
relapse.  The  diet  should  consist  of  prunes,  tamarinds,  or  apple 
water,  with  a little  wine.  Strong  beef  tea,  Indian  meal  gruel, 
boiled  rice  and  other  light  articles  of  food  may  be  used.  As  a 
tonic,  the  cold  infusion  of  Virginia  Snake-root  or  an  infusion  of 
Shrubby  Trefoil  may  be  given. 

HOMEOPATHIC 

When  the  first  symptoms  appear,  Ipecac  should  be  given  imme- 
diately, especially  when  there  are  dizziness,  chills,  pains  in  the 
back  and  limbs,  uneasy  sensation  in  the  stomach,  with  nausea  and 
vomiting. 

Belladonna.  — Redness  and  bloated  appearance  of  the  face;  eyea 
bright,  red  and  sparkling,  or  fixed  and  glistening  ; tongue,  whitish, 
yellowish,  or  brownish;  dry,  burning  heat;  sharp  darting  pains  in 


96 


OUR  FAMILY  PHYSICIAN. 


the  head  with  throbbing  painful  heaviness,  and  cramp-like  pains  in 
the  back  and  limbs,  pressure,  cramp-like  pains  in  the  stomach, 
inclination  to  vomit,  or  violent  vomiting  during  the  remission,  mel- 
ancholy, dejection.  When  reaction  comes  on,  great  agitation  and 
continual  tossing  and  anguish. 

Bryonia . — Skin  yellow,  eyes  red  or  dull,  glassy  or  watery, 
tongue  dry  and  covered  with  white  or  yellow  coating,  severe  pain 
in  the  stomach,  with  vomiting,  particularly  after  drinking,  burning 
thirst,  pain  in  the  back  and  limbs,  headache  aggravated  by  motion, 
eyes  painful  on  motion,  sense  of  fullness  and  oppression  at  the 
stomach  and  bowels,  anxiety,  with  dread  and  apprehension,  loss  of 
memory. 

Rhus-Tox.  — Skin  dry  and  yellow  colored,  eyes  glazed  and 
sunken,  tongue  dry  and  black,  lips  dry  and  brownish,  pulse  quick 
and  small,  delirium  ; stupor  with  snoring-like  breathing,  constant 
motion,  distressing  pain  or  burning  in  the  stomach,  nausea  and 
vomiting,  lower  extremities  paralyzed,  spasms  in  the  bowels,  colic, 
diarrhoea,  difficulty  of  swallowing,  or  pain  in  swallowing,  intellect 
dull  and  clouded. 

Arsenicum.  — Face  yellowish  or  bluish,  eyes  pale  and  sunken, 
body  cold,  with  cold  and  clammy  perspiration,  nose  pointed,  lips 
and  tongue  brown  or  black,  pulse  quick,  weak,  small  and  frequent 
or  trembling,  great  debility,  dull  throbbing  or  shooting  pains  in  the 
head,  burning  or  sharp  darting  pains  in  the  stomach  or  the  region 
of  the  liver  ; limbs  stiff,  frequent  discharges  from  the  bowels  and 
straining,  or  the  discharges  are  painless  and  without  the  knowl- 
edge of  the  patient,  oppression  at  the  chest,  with  rapid  and  anx- 
ious breathing,  cramps  in  the  calves  of  the  legs,  drawing  and 
cramp-like  pains  in  the  bowels,  sensations  as  if  a weight  was  press 
ing  upon  the  bowels,  weakness  of  memory,  stupidity  and  loss  of 
consciousness. 

Aconite.  — Suitable  in  first  and  second  stages  where  there  are 
burning,  dry  skin,  eyes  red  and  sensitive  to  light,  face  red,  lips  and 
mouth  dry,  sensation  of  great  heat,  thirst,  pains  in  the  temple, 
forehead  or  side  of  the  head,  dizziness  on  rising,  great  heat  and 
irritability  of  the  stomach,  short  and  quick  breathing. 

Nux  Vomica.  — Skin  yellow,  especially  around  the  nose  and 
mouth,  eyes  inflamed,  dark  circle  around  the  eyes,  tongue  coated 
white  or  yellow,  or  dry,  cracked  and  brown  with  red  edges,  burn- 
ing pains  in  the  stomach,  vomiting  of  acid  or  bilious  matter,  vio- 
lent hiccoughs,  dizziness,  pains  in  the  head,  trembling  of  the 
limbs,  desire  for  beer,  brandy  or  other  stimulants,  discharges  of 
bloody  or  bilious  matter  from  the  bowels,  coldness  and  cramps  in 
the  legs,  great  anxiety,  fear  of  death,  loss  of  consciousness,  and 
delirium  with  muttering. 

Mercurius.  — Yellow  color  of  the  skin,  eyes  red,  blood  vessels 


GENERAL  DISEASES. 


97 


injected,  tongue  coated  with  thick  white  fur,  or  dry  and  brown 
mucus,  great  inclination  to  sleep  or  restlessness  from  nervousness, 
sense  of  fatigue,  rapid  loss  of  strength,  violent  vomiting  of 
mucus  and  bilious  matter,  burning  pains  and  tenderness  of  the 
stomach,  coldness  of  the  arms  and  legs  with  cramps. 

Veratrum. — Face  yellowish  or  bluish,  cold,  and  covered  with 
cold  perspiration,  eyes  dull,  yellowish  and  watery,  lips  and  tongue 
dry,  brown  and  cracked,  hiccough,  coldness  of  the  hands  and  feet, 
discharges  from  the  bowels,  loose,  blackish  and  yellowish,  tremb- 
ling, cramps  in  the  feet,  hands  and  legs,  great  loss  of  strength,  dif- 
ficulty in  swallowing,  and  intense  thirst,  vomiting  of  green  bile  or 
mucus,  or  black  bile  and  blood,  cramps  in  the  stomach,  bowels  and 
limbs. 

Sulphur.  — Face  pale  or  yellowish,  pulse  hard,  quick  and  full, 
dizziness  and  sharp  pains  in  the  head,  itching  or  burning  pains  in 
the  eyes,  roaring  in  the  ears,  pains  in  the  back  and  loins. 

Administration  of  Remedies.  — Give  six  globules  at  a dose,  or  dis- 
solve twenty  globules  in  half  a tumbler  of  water,  and  give  a dose 
every  half  hour,  hour,  two  or  three  hours,  according  to  the  urgen- 
cy of  the  symptoms. 

ALLOPATHIC. 


The  bowels  should  be  opened  with  10  grains  of  Calomel,  and  the 
following  should  be  given  : 


Sulphate  of  Magnesia, 
Nitrate  of  Potash, 

Extract  of  Liquorice, 
Compound  infusion  of  Senna, 
Tincture  of  Senna  or  Jalap, 
Spirit  of  Sal  Volatile. 


1 ounce. 

• 10  grains. 

1 scruple. 

- H ounces. 

3 drachms. 
1 drachm. 


Mix.  Dose,  two  to  three  tablespoonsful.  This  should  be  repeat- 
ed every  hour,  or  half  hour,  if  necessary. 


Instead  of  the  Calomel,  the  following  may  be  used: 

Sulphate  of  Magnesia,  1 ounce. 

Cream  of  Tartar,  - - - . . 1 “ 

Pure  Water,  ......  i pint. 

Mix,  a wineglaSsful  at  a dose. 


During  the  chill,  the  feet  should  be  put  in  a mustard  bath,  giv- 
ing drinks  of  Peppermint,  Pennyroyal,  or  Sage  teas.  During  the 
remission,  or  stage  of  calm,  give  stimulants,  and  induce  perspira- 
tion by  wnrm  drinks  and  tincture  of  Veratrum  Viride,  or  the  fob 
lowing  : 

7 


93 


OUR  FAMILY  PHYSICIAN. 


Sulpate  of  Quinine,  12  grains. 

Aromatic  Sulphuric  Acid,  - - - 24  drops. 

Syrup,  ......  1 ounce. 

Peppermint  water,  - - - - 1 “ 

Mix.  Give  a teaspoonful  every  hour. 

During  the  third  stage,  brandy  should  be  freely  given,  continu- 
ing the  preparation  of  Quinine.  If  there  is  pain  and  chilliness  at 
the  pit  of  the  stomach,  twelve  leeches  should  be  applied,  and  after 
their  removal,  a poultice  should  be  applied  to  the  stomach.  The 
Acetate  of  Morphine  sprinkled  over  the  stomach  after  it  has  been 
blistered,  will  sometimes  allay  the  irritation. 

For  the  pain  in  the  head,  leeches  should  be  applied  to  the  tem- 
ples and  back  of  the  neck,  and  also  cloths  wet  in  cold  water. 

The  effervescing  draught  of  the  United  States  Dispensatory  will 
be  found  good  to  allay  the  irritation  of  the  stomach,  and  stop  the 
vomiting. 

For  the  great  prostration  and  feebleness,  the  following  may  be 
given  : 

Sesqui-earbonate  of  Ammonia,  - 1 drachm. 

Chloride  of  Potash, 2 drachms. 

Laudanum,  - 1 drachm. 

Cinnamon  or  Peppermint  water,  - 12  ounces. 

A tablespoonful  should  be  given  every  hour. 


GENERAL  DISEASES. 


99 


CHAPTER  III. 

Affections  of  the  Mind. 

Hypochondria. 

THIS  is  a state  of  the  mind  which  is  caused  by  debility  of  the 
nervous  system,  and  which  is  generally  associated  with  dys- 
pepsia. It  is  known  by  several  other  names,  as  Low  Spirits, 
Vapors,  and  the  Blues. 

Causes.  — This  may  be  caused  by  anything  which  lowers  the 
tone  and  energy  of  the  nervous  system,  as  close  and  severe 
study,  intemperate  habits,  excesses  in  eating  and  drinking,  late 
hours,  great  mental  anxiety,  long  continued  evacuations,  the  sup- 
pression of  customary  discharges,  or  too  free  indulgence  in  coition. 

Symptoms.  — There  is  general  languor  and  listlessness,  want  of 
energy,  inactivity.  The  patient  is  affected  with  pains  in  the  chest 
and  abdomen,  especially  under  the  false  ribs.  The  countenance 
has  a melancholy  expression,  and  the  patient  is  continually  dwell- 
ing upon  his  symptoms,  imagining  that  he  cannot  live,  speaking 
constantly  of  his  health,  and  believing  himself  laboring  under  some 
disease  or  complication  of  diseases.  He  is  troubled  with  dyspep- 
tic symptoms,  constipation,  dizziness,  pains  in  the  head,  poor 
digestion,  tongue  coated,  complexion  sallow,  or  dingy,  cold  feet 
and  disturbed  sleep.  He,  perhaps,  will  retire  to  his  bed  and  remain 
there  a week  or  more,  imagining  that  he  is  troubled  with  some 
violent  disease  ; and  making  light  of  these  troubles,  will  always 
affront  him  more  or  less.  This  state  of  mind  may  continue  until 
visions  and  persons  are  seen,  together  with  objects  which  have 
no  existence,  and  imaginary  noises  will  be  Heard.  There  is  a 
desire  to  be  constantly  taking  medicine  for  some  ailment  or  other. 
The  hypochondria  is  generally  worse  in  the  morning,  and  gets 
better  towards  the  afternoon  and  evening. 


100 


OUR  FAMILY  PHYSICIAN. 


GENERAL  TREATMENT. 

Great  care  should  be  taken  in  the  treatment  of  these  cases. 
The  patient  should  not  be  laughed  at,  or  reasoned  with,  as  such  a 
course  only  has  a tendency  to  aggravate  the  disease.  The  mind 
must  be  diverted  from  gloomy  subjects  and  apprehensions,  and 
turned  to  objects  which  are  new  and  interesting.  The  patient’s 
lamentations  should  be  attended  to,  as  though  based  upon  some 
genuine  malady.  Daily  exercise  in  the  open  air  should  be  enforc- 
ed, as  gunning,  fishing,  riding  ; the  associates  should  all  be  of  a 
cheerful  disposition,  and  endeavor  to  impress  their  cheerfulness 
upon  the  patient’s  mind.  The  invalid  should  go  to  bed  early  and 
sleep  on  a hard  bed,  rise  early  and  exercise  in  the  morning  air 
when  the  weather  is  suitable.  Cold  water  bathing  should  be  fre- 
quently resorted  to,  followed  by  a brisk  rubbing.  The  diet  should 
be  light,  nutritious  and  generous,  avoiding  fats  and  acids,  liquors, 
tea  and  coffee. 

The  stomach  should  not  be  overloaded,  and  the  food  should  be 
well  masticated.  Indigestion,  dyspepsia,  and  the  other  diseases 
which  arise,  should  be  treated  according  to  their  several  indica- 
tions. 

HOMEOPATHIC. 

Nux  Vomica.  — Ill-humor,  aversion  to  life,  unrefreshing  sleep, 
dullness  in  the  head,  with  aching  pains  or  sensations  as  of  sticking 
a pin  in  the  brain,  constant  desire  to  lie  down,  great  exhaustion 
after  walking,  constipation  of  the  bowels,  disposition  to,  or  pres- 
ence of  Piles. 

Sulphur.  — Lowness  of  spirits,  anxiety  about  one’s  affairs,  health, 
and  salvation,  restlessness,  anxious  impatience,  bodily  and  mental 
indolence,  absence  of  mind,  fullness  and  oppression  of  the  stom- 
ach, constipation. 

Calcarea  Carh.  — Lowness  of  spirits,  with  disposition  to  weep 
frequently,  anxiety,  with  palpitation  of  the  heart,  apprehensions 
of  illness  or  misfortune,  insanity  and  disease,  dread  of  death,  inabil- 
ity to  think  or  perform  mental  labor.  [This  follows  well  after  Sul- 
phur.] 

Aurum  Muriaticum.  — Unrefreshing  sleep,  frightful  dreams,  dread 
of  some  impending  calamity,  loss  of  ambition  and  energy,  constant 
disposition  to  dwell  on  imaginary  diseases. 

Natrum  Muriaticum.  — Lowness  of  spirits,  weeping  and  gloomy 
forebodings  about  the  future,  aversion  to  life,  ill-humor,  inability 
to  perform  mental  labor,  headache  with  want  of  appetite,  indiges- 
tion after  eating. 

Administration  of  Remedies. — Of  the  selected  remedy,  give  six 
globules  every  other  evening  for  two  weeks.  If  there  is  no  im- 
provement then,  select  another  remedy. 


GENERAL  DISEASES. 


101 


ALLOPATHIC. 


If  there  is  costiveness,  cracked  wheat  should  be  eaten,  or  if 
this  does  not  answer,  give  the  following  : 


Pulv.  Rhubarb, 2 scruples. 

Bi-carbonate  of  Potassa,  - - - 1 scruple. 

Extract  of  Nux  Vomica,  ...  5 grains. 

Mix.  Make  into  20  pills.  Dose,  one  pill  twice  a day. 

A teaspoonful  of  calcined  magnesia,  or  an  infusion  of  thorough- 
wort,  will  often  answer  an  excellent  purpose. 

If  there  is  debility,  one  of  the  following  may  be  given  : 


Fluid  Extract  of  Senna,  ....  1 drachm. 

Compound  Fluid  Extract  of  Gentian,  - “ 

Fluid  Extract  of  Ginger,  - • - £ “ 

Aromatic  Spirits  of  Ammonia,  - b “ 

Mix,  and  take  at  one  dose,  in  a wineglassful  of  sweetened  water. 
Or, 


Aloes, 

Gentian, 

Orange  peel, 
Juniper  berries, 
Anise-seed,  bruised, 
Gin, 


1 ounce. 
1 “ 

1 “ 

1 “ 

1 “ 

1 pint. 


Mix,  and  let  the  mixture  stand  for  two  weeks  and  then  strain. 
Dose,  one  tablespoonful  twice  a day.  In  case  of  fainting,  with  a 
sensation  of  dying,  motherwort  tea,  with  a teaspoonful  of  spirits 
of  camphor,  may  be  given. 


ECLECTIC  AND  HERBAL. 

If  the  bowels  are  costive,  they  may  be  kept  regular  by  a mix- 
ture of  Rhubarb  two  parts,  Bi-carbonate  of  Potassa  one  part,  of 
which  from  three  to  fifteen  grains  may  be  taken  at  a do3e,  as  may 
be  deemed  necessary. 

If  there  is  a tendency  to  a sour  stomach  or  other  dyspeptic 
symptoms,  magnesia  and  prepared  chalk,  or  ten  grains  of  Rhubaro, 
with  about  a tablespoonful  of  magnesia,  should  be  taken  once  & 
day. 

As  a tonic,  the  following  may  be  used  : 

Sulphate  of  Quinine,  - - 1 drachm. 

Leptandrin,  .....  1 “ 

Tartaric  Acid,  - - - - I “ 

Alcoholic  Extract  of  Black  Cohosh,  a sufficient  quantity. 

Mix,  and  divide  into  four  grain  pills  ; take  a pill  three  times  a 
day. 


102 


OUR  FAMILY  PHYSICIAN. 


Hysteria  or  Hysterics. 

This  is  an  affection  peculiar  to  females  of  a nervous  or  nervous- 
sanguine  temperament,  with  cheerful,  lively  and  ardent  dispositions 
and  vivid  imaginations.  It  takes  its  name  from  the  Greek  word 
meaning  the  womb,  and  was  supposed  to  be  caused  by  some  irrita- 
tion, arising  from  diseases  of  the  generative  system. 

Causes.  — Delicate,  nervous  temperament,  confinement  in  close 
and  over-heated  apartments,  the  reading  of  exciting  works  of  fic- 
tion, and  attending  theatrical  exhibitions,  tight  lacing,  want  of 
exercise,  want  of  sleep,  excessive  fatigue,  luxurious  living.  The 
exciting  causes  may  be  violent  mental  emotion,  such  as  anger,  rage, 
grief,  fright,  disappointed  love,  the  sight  of  disagreeable  objects, 
or  the  smell  of  disagreeable  odors,  indigestion. 

Symptoms.  — An  attack  of  hysterics  is  generally  preceded  by 
low  spirits,  and  it  occurs  in  paroxysms  of  greater  or  less  duration. 
It  is  found  more  commonly  among  widows  and  the  unmarried,  than 
the  married,  and  the  paroxysms  are  more  likely  to  occur  about  the 
period  of  menstruation  than  at  any  other  time.  Generally,  preced- 
ing or  during  the  attack,  there  is  a sensation  as  of  a ball  ascending 
from  the  left  side  of  the  abdomen  to  the  throat,  causing  a sensation 
of  strangulation.  The  patient  cries  and  laughs  alternately,  or  gives 
vent  to  sobs  and  floods  of  tears,  wringing  the  hands  and  tearing 
the  hair.  Sometimes  the  body  and  limbs  are  violently  convulsed, 
and  the  patient  may  struggle,  so  as  to  require  the  strength  of  sev- 
eral persons  to  hold  her.  The  head  is  thrown  back,  and  there  is 
delirium  or  loss  of  consciousness.  These  are  a few  of  the  symp- 
toms which  occur  in  this  disease. 

GENERAL  TREATMENT. 

The  patient  should  be  placed  in  a draught  of  fresh  air,  and  the 
dress  loosened,  so  as  to  allow  free  circulation  and  breathing. 
The  head  and  face  should  be  washed  freely  with  cold  water,  and 
sometimes  a bucket  of  cold  water  thrown  over  the  patient,  will 
bring  the  spasm  to  an  end. 

ALLOPATHIC. 

During  a spasm,  the  fluid  extract  of  Valerian  may  be  given — a 


general  diseases. 


103 


large  teaspoonful  in  a wineglassful  of  sweetened  water,  which 
should  be  frequently  repeated  ; or  a drachm  of  the  freshly  powder 
ed  Valerian  root,  divided  into  four  powders,  of  which  may  be  given 
one  at  a dose.  If  the  jaws  are  set,  and  can  not  be  opened,  take 
two  pieces  of  ice,  about  as  large  as  an  egg ; wrap  them  in  the  cor- 
ners of  a napkin,  and  press  one  on  each  side  of  the  jaws,  which 
will  generally  cause  the  muscles  to  relax.  A teaspoonful  of  Sal 
Volatile,  Ether  or  Assafcetida  may  be  given,  if  convenient.  Snuff 
applied  to  the  nostrils,  will  sometimes  relieve.  If  the  fit  continues 
for  some  considerable  time,  an  injection  composed  of  half  an  ounce 
each  of  Spirits  of  Turpentine,  Castor  oil  and  Tincture  of  Assafoe- 
tida,  with  a pint  of  gruel,  should  be  administered.  During  the  in- 
terval between  the  attacks,  endeavors  must  be  made  to  remove  the 
exciting  cause,  whatever  it  may  be,  such  as  irregular  menstruation, 
costiveness,  or  deranged  digestion.  The  bowels  should  be  kept 
free,  without  resorting  to  violent  means.  If  there  is  great  weak- 
ness, one  of  the  following  may  be  given : 


Valerianate  of  Zinc,  .... 
Tincture  of  Valerian, 

Orange  Flower  Water,  .... 
Syrup  of  Red  Poppies,  - 

Mix.  Dose,  a tablespoonful  every  six  hours. 
As  a tonic,  the  following  may  be  used  : 

Infusion  of  Gentian,  - 
Sesqui-carbonate  of  Ammonia,  - 
Compound  Tincture  of  Cardamon, 

Mix.  Dose,  two  tablespoonsful  two  or  three 


8 grains. 

2 drachms. 
3^  ounces. 

2 drachms. 


ounces. 
\ drachm 
\ ounce. 

times  a day. 


Or  this : 


Sulphate  of  Iron,  1 scruple. 

Pulverized  Aloes, 2 scruples. 

Mix,  and  make  into  twenty  pills. 


Dose,  one  pill  twice  a day.  If  there  be  tenderness  over  the 
spine,  Croton  oil  liniment  should  be  applied,  until  there  is  consider 
able  irritation. 


ECLECTIO  AND  HERBAL. 

The  following  mixture  will  be  found  useful  in  severe  cases  : 


Skunk-cabbage  Root, 

. 

. 

^ ounce. 

Skull-cap, 

- 

- 

h “ 

Ladyslipper  root,  - 

- 

* “ 

Lobelia, 

% • 

\ “ 

Capsicum, 

- 

* 

2 drachms. 

104 


OUR  FAMILY  PHYSICIAN. 


Alcohol,  ..... 

- 1 pint. 

Compound  Spirits  of  Lavender, 

1 “ 

Ether  and  Ammonia,  each 

- 4 ounces. 

Mix,  and  let  stand  two  weeks,  frequently  shaking  it. 

Dose,  one  or  two  teaspoonsful,  as  often 

as  required. 

In  the  interval  of  the  paroxysms,  the 

bowels  may  be  loosened 

with  one  of  the  following  mixtures: 

Aletridin,  ..... 

12  grains 

Senecin,  ..... 

- 12  “ 

Sulphate  of  Quinine, 

6 “ 

Mix,  and  divide  into  twelve  pills. 
Dose,  one  pill  three  times  a day. 
Or: 

Extract  of  Belladonna,  - 

grains. 

Sulphate  of  Quinine, 

. . 6 “ 

Alcoholic  Extract  of  Black  Cohosh, 

18  “ 

Mix,  and  divide  into  twelve  pills. 

Dose,  one  pill  three  times  a day. 

A pill  composed  of  extract  of  May-apple  root,  with  a little  Quin- 
ine, or  powdered  Cloves,  may  be  taken  every  night,  or  every  other 
night.  It  is  well  to  give  a gentle  emetic  once  a week,  composed 
of  equal  parts  of  Lobelia  and  Ipecac,  with  Pennyroyal  tea. 

If  the  patient  is  feeble,  a powder  composed  of  Spikenard,  Gen- 
tian, Chamomile  Flowers,  with  a little  Cloves  or  Nutmeg,  in  wine 
or  spirits,  may  be  given. 

EOMEOPATHIC. 

When  the  attack  arises  from  costiveness,  and  is  attended  with  a 
bitter  or  sour  taste  in  the  mouth,  fullness  and  pain  in  the  stomach, 
nausea,  weakness,  headache,  dizziness,  Nux  Vomica  and  Sulphur 
should  be  given — Nux  Vomica  at  night,  and  Sulphur  in  the  morning. 

Pulsatilla , Sabina , Silicea . - — If  the  attack  is  caused  by  the  derange- 
ment of  the  generative  organs. 

Ignatia , Hyosciamus , Belladonna , and  Coffea.  — If  the  attack  has 
been  caused  by  any  violent  mental  excitement,  as  anger  or  fright. 

Administration  of  Remedies. — During  the  paroxysms,  of  the  se- 
lected remedy,  give  a solution  of  twelve  globules  in  twelve  tea 
spoonsful  of  water. 

Dose,  a teaspoonful  every  ten  or  fifteen  minutes. 

In  the  intervals  of  the  paroxysms,  six  globules  every  twelve 
hours  will  be  sufficient. 


GENERAL  DISEASES. 


106 


Melancholia  or  Melancholy. 

Melancholy  is  a variety  of  insanity,  under  the  influence  of 
which  the  patient  is  low-spirited,  peevish  and  whimsical,  or  labors 
under  a belief  of  guilt  of  some  great  crime,  committed  against 
heaven  or  man.  The  appetite  is  variable,  voice  feeble,  pulse  low, 
and  sleep  imperfect.  The  treatments  for  this  will  be  almost  the 
same  as  for  Hypochondria,  to  which  refer. 

Mania. 

Mania,  or  Insanity,  is  a derangement  of  the  intellect,  which  pro- 
duces various  effects  on  a patient.  The  symptoms  of  it  are  so 
numerous  and  diversified,  that  it  is  impossible  to  give  any  descrip- 
tion of  them. 

Causes.  — The  causes  are  numerous,  among  which  may  be  enum- 
erated, blows  upon  the  head,  blows  upon  the  spine,  apoplexy, 
paralysis,  violent  mental  emotions,  as  great  anger,  jealousy  and 
fear,  religious  excitement,  sexual  excesses,  and  dyspepsia. 

Treatment.  — Treatment  should  not  be  undertaken  by  any  but  a 
competent  physician,  or  by  an  institution  which  is  conducted  for  the 
benefit  of  the  insane. 


106 


OUR  FAMILY  PHYSICIAN. 


CHAPTER  IV. 

Affections  of  the  Head. 

Congestion,  or  Determination  of  Blood  to  the  Head 

MANY  persons  are  affected  by  what  is  known  as  rush  of  blood 
to  the  head.  It  is  a symptom  of  over-fullness  of  blood  in 
the  system,  or  of  deranged  circulation,  and  may  also  be  a symptom 
of  tendency  to  apoplexy. 

Causes . — This  may  be  caused  by  a disease  of  the  heart,  by 
debility  arising  from  hemorrhages,  indigestion,  costiveness,  and 
mental  labor. 

TREATMENT. ECLECTIC  AND  HERBAL. 

If  the  bowels  are  costive,  give  a preparation  of  Salts,  or  Salts 
and  Senna,  or  Castor  oil.  If  the  case  is  serious,  the  feet  and  legs 
should  be  placed  in  hot  water,  and  a mustard  poultice  applied  to 
the  bowels.  After  relief  has  been  obtained,  the  bowels  should  be 
kept  regular,  the  feet  warm,  and  the  skin  in  a healthy  condition. 
Diet  should  be  plain  and  simple.  The  following  will  be  found  ex- 
cellent to  relieve  the  difficulty  : 

Tincture  of  Belladonna,  ...  ^ ounce. 

Tincture  of  Stramonium,  - - £ “ 

Tincture  of  Bloodroot,  - 1 “ 

Mix,  and  take  twenty  drops  once  a day. 

HOMEOPATHIC. 

The  patient  must  abstain  from  all  spirituous  drinks,  coffee  and 
tea,  and  should  wash  frequently  in  cold  water. 

Aconite . — Is  the  first  remedy  to  be  given  for  the  headaches,  es- 
pecially when  there  is  pain  above  the  eyes  as  if  the  head  would 
burst,  particularly  when  stooping  or  coughing. 

Belladonna.  — Either  alone  or  in  alternation  with  Aconite,  if  the 
symptoms  are  more  on  the  right  side  of  the  head,  or  if  there  is 
violent  pressure  on  the  forehead,  which  is  increased  by  motion, 
stooping,  noise,  and  light,  together  with  buzzing  in  the  ears. 

Opium . — If  the  attack  is  caused  by  fright,  or  if  caused  by  drink- 
ing cold  water,  when  heated,  with  the  following  symptoms  : dizzi- 


GENERAL  DISEASES. 


107 


ness,  buzzing  in  the  ears,  stupor,  with  sweat  pouring  from  the 
head  ; also  to  be  used  in  those  cases  where  constipation  is  long 
continued,  and  very  obstinate,  and  the  patient  has  no  desire  for  a 
stool. 

Coffea . — When  the  attack  is  caused  by  great  joy,  or  in  children, 
by  teething,  sleeplessness,  and  agitation. 

Nux  Vomica . — When  caused  by  intense  study,  or  drinking  of 
liquors,  or  by  violent  anger;  when  there  is  a painful  feeling  in  the 
head  while  walking  or  moving,  pressure  in  the  temples,  eyes  dim, 
bowels  constipated,  with  ineffectual  desire  to  evacuate,  symptoms 
worse  in  the  morning  or  in  the  open  air. 

Bryonia . — Painful  pressure  in  the  temples,  or  a sensation  as  if 
everything  would  fall  out  of  the  temples  while  stooping,  and  the 
nose  bleeding  without  relief. 

Rhus-Tox  may  be  given  for  the  same  symptoms. 

Administration  of  Remedies.  — Dissolve  twelve  globules  in  twelve 
teaspoonsful  of  water,  and  give  a teaspoonful  every  fifteen  min 
utes,  to  one-half  hour  or  two  hours,  according  to  the  urgency  of 
the  symptoms. 

ALLOPATHIC. 

The  following  may  be  given  : 

Spirit  of  Mindererus,  ....  2 ounces. 

Sweet  Spirits  of  Nitre,  ...  .1  ounce 

Mix,  and  take  a teaspoonful  three  times  a day. 

A dose  of  some  gentle  physic,  as  Castor  oil,  Salts,  or  Saica 
Senna,  should  be  taken  at  night,  and  the  following  in  the  morning  : 

Rochelle  Salts, 2 drachms. 

Bi-carbonate  of  Soda,  ....  2 scruples. 

Water,  - - | pint. 

Mix. 

To  this  mixture,  adci, 

Tartaric  Acid, 35  grains. 

Take  the  whole  while  foaming. 


Vertigo  or  Dizziness. 

This  is  generally  owing  to  fullness  of  the  blood-vessels  of  the 
head,  and  may  be  a symptom  of  dyspepsia,  hysteria,  apoplexy,  or 
epilepsy. 

Causes.  — The  causes  generally  are  disordered  stomach,  profuse 


108 


OCR  FAMILY  PHYSICIAN. 


evacuations,  too  free  indulgence  in  ardent  spirits  and  narcotics,  as 
opium,  or  falls  and  blows  on  the  head. 

Symptoms.  — The  patient  is  suddenly  seized  with  a sense  of  swim- 
ming in  the  head,  everything  appearing  dim,  and  as  if  turning 
around,  causing  a staggering  and  liability  to  fall.  The  attack  lasts 
but  a few  moments 

TREATMENT.  — HOMEOPATHIC 

Aconite.  — Giddiness  with  nausea  and  vomiting,  clouding  of  the 
eyes,  with  loss  of  consciousness. 

Pulsatilla  — Stomach  disordered,  with  nausea  and  vomiting,  dis- 
taste for  food,  dizziness  from  looking  up. 

Arnica.  — Dizziness  from  over-eating,  or  during  meals,  with  nau- 
sea, dimness  of  sight  and  red  face. 

Nux  Vomica. — Vertigo  during  or  after  a meal,  or  while  walk- 
ing in  the  open  air,  when  stooping  or  thinking,  worse  in  the  morn- 
ing or  evening,  together  with  a sensation  while  lying  on  the  back, 
as  if  turning  around,  with  falling,  fainting  and  loss  of  conscious- 
ness. 

Opium.  — From  fright,  with  trembling,  dimness  of  the  sight,  the 
dizziness  worse  on  rising  and  obliging  the  patient  to  lie  down  again. 

Mercury.  — Vertigo  worse  in  the  morning  or  evening,  with  dim- 
ness of  sight  on  raising  the  head,  with  desire  to  lie  down. 

Bryonia.  — May  be  given  for  the  same  symptoms,  especially 
when  there  is  a feeling  of  congestion  when  stooping  and  rising 
again. 

Ipecac.  — Vertigo  when  waking,  with  tottering  and  staggering. 

Belladonna.  — Sparkling  before  the  eyes  when  moving,  increased 
by  stooping,  with  partial  loss  of  consciousness. 

Antimonium  Crudum.  — Nausea  and  vomiting,  aversion  to  food, 
disorder  of  the  stomach.  This  may  be  followed  by  Pulsatilla. 

Sulphur.  — Vertigo  in  the  morning  or  at  night,  or  when  ascend- 
ing an  eminence,  or  after  a meal. 

Administration  of  Remedies.  — Give  six  globules  of  the  selected 
remedy  every  two,  three  or  four  hours.  This  will  generally 
relieve,  or  another  remedy  is  necessary. 

ALLOPATHIC. 

If  the  vertigo  is  caused  by  dyspepsia,  attention  should  be  give  a 
to  the  diet.  If  there  is  costiveness  open  the  bowels  with  cold 
water  injections  or  some  physic,  as  follows : 

Castor  Oil,  ------  1 ounce. 

Peppermint  Water,  - - - 2 ounces. 


GENERAL  DISEASES. 


109 


Simple  Syrup, 


J ounce. 


Yolk  of  an  egg. 


Mix,  and  take  at  one  dose. 


Or  this, 

Sulphate  of  Magnesia, 
Cream  of  Tartar, 

Pure  Water, 


- 1 ounce 
1 “ 

• 1 pint. 


Mix.  One  wineglassful  twice  a day. 


ECLECTIC  AND  HERBAL. 


If  the  vertigo  is  caused  by  a disordered  stomach,  a purgativo 
such  as  powdered  May  Apple  may  be  given,  or  teas  of  pennyroyal, 
peppermint,  sage  or  balm. 


This  word  is  derived  from  two  Greek  words,  meaning  to  strike 
or  knock  down.  This  affection  is  characterized  by  sudden  loss, 
more  or  less  complete,  of  consciousness  and  voluntary  motion,  with- 
out the  circulation  or  breathing  being  suspended.  It  is  produced 
by  pressure  upon  the  brain. 

Causes . — Whatever  will  cause  a determination  of  blood  to  the 
brain,  such  as  violent  exercise,  intemperance  in  eating  and  drink- 
ing, the  use  of  narcotics,  sudden  mental  emotion,  such 


as  fear  or  anger,  luxurious  livin  in  use  of  stimulants, 

want  of  exercise,  suppression  of  nose-bleeding,  excess  of  study, 
general  debility,  weakness,  whether  arising  from  insufficient  food, 
or  great  bodily  or  mental  lat  ">r,  sickness  or  old  age.  It  may  also 
be  caused  by  diseases  of  the  L art  and  arteries,  and  diseases  of  the 
lungs,  and  may  be  inherited.  Persons  with  large  heads,  short  necks 
and  red,  bloated  faces,  are  more  liable  to  attacks. 

Symptoms.  — Although  the  attack  sometimes  comes  on  suddenly, 
it  is  generally  preceded  by  symptoms  which  foretell  its  approach. 
Among  these  are  great  desire  for  sleep  — sleep  unrefreshing  and 
broken  by  dreams,  or  long  and  heavy  — with  laborious  and  deep 
breathing,  constant  dull  pains  in  the  head,  with  a sense  of  weight 
and  heaviness,  giddiness,  frequent  fits  of  nightmare,  aching  pains  in 
the  brain,  veins  of  the  forehead  large  and  swollen,  arteries  of  the 


Apoplexy. 


110 


OUR  FAMILY  PHYSICIAN. 


neck  and  temples  throbbing  violently,  head  hot,  with  ringing  ana 
buzzing  in  the  ears,  specks  flying  before  the  eyes,  cramps  in  the 
legs  at  night,  constant  inclination  to  sigh,  loss  of  memory,  irrita- 
bility of  temper,  legs  and  feet  feeling  numb,  falling  of  the  upper 
eyelid,  unsteadiness  in  walking,  irregularity  in  diet,  voracious  ap- 
petite, with  constipation  and  other  dyspeptic  symptoms. 

When  the  patient  is  attacked,  the  face  is  usually  very  high  col- 
ored, the  speech  becomes  embarassed,  the  hearing  impaired,  and 
there  is  falling  down  suddenly,  together  with  deprivation  of  con- 
sciousness, and  more  or  less  of  sensation  or  motion. 

In  other  cases,  the  patient  may  suddenly  be  attacked  with  pain 
in  the  head,  become  pale,  sick  and  faint,  vomit  and  fall  down  in  a 
semi-conscious  state,  the  pulse  being  feeble,  when  a convulsion 
may  take  place.  This  condition  of  stupor  may  last  from  a few 
minutes  to  several  days,  and  if  a fatal  result  does  not  take  place, 
the  recovery  will  be  gradual. 

On  recovery,  it  will  be  generally  observed  that  the  muscles  on 
one  side  of  the  body  are  more  or  less  paralyzed,  and  these  paralytic 
symptoms  may  disappear  in  a few  hours  or  days,  or  continue  for 
months  or  years.  The  mind  is  sometimes  weakened  and  memory 
rendered  defective. 

Apoplexy  may  be  distinguished  from  epilepsy,  by  the  absence  of 
convulsions  in  the  former.  In  epilepsy  there  is  usually  foaming  at 
the  mouth,  with  gnashing  of  the  teeth,  and  noise  resembling  the 
barking  of  a dog.  In  that  affection,  the  breathing  is  very  loud 
and  snoring. 

GENERAL  TREATMENT. 

The  patient  should  be  removed  to  a cool,  airy  place.  The  cloth- 
ing about  the  neck  should  be  removed,  the  head  elevated,  or  held 
between  the  knees,  a stream  of  cold  water  poured  upon  the  head 
and  neck,  and  the  soles  of  the  feet  may  also  be  pounded. 

ALLOPATHIC. 

A purgative  should  be  immediately  administered,  consisting  of 
ten  or  fifteen  grains  of  Calomel.  If  the  patient  can  not  swallow, 
two  or  three  drops  of  Croton  oil  may  be  rubbed  on  the  back  of  the 
tongue,  and  an  injection  should  be  administered,  consisting  of  two 


GENERAL  DISEASES. 


Ill 


or  three  tablespoonsful  of  common  salt,  with  a small  quantity  of 
oil  or  butter  in  a pint  of  warm  water  ; this  should  be  repeated 
every  two  hours. 

The  following  is  a good  injection: 

Castor  Oil,  • • • * - 1 gill. 

Pulverized  Cayenne,  - - • - 10  grains 

Molasses, 1 gill. 

Salt,  .......  1 teaspoonful. 

Warm  Water,  .....  1 pint. 

Mix.  If  the  patient  be  cold,  or  the  pulse  is  small  and  feeble,  coun- 
tenar  n.  pinched,  and  skin  bloodless,  warm  flannels  and  hot  bricks 
8ho'  be  applied  to  the  surface  of  the  body,  and  the  following 
st  be  given  : 

,al  Volatile,  ....  £ drachm. 

Camphor  Water,  ...  1 ounce. 

Mix. 


If  the  patient  is  able  to  swallow,  a purgative  of  an  infusion  of 
Senna  with  Sulphate  of  Magnesia,  may  be  given.  Cold  water 
should  be  applied  to  the  head  by  means  of  cloths,  or  bladders  of 
ice  may  be  applied.  To  prevent  future  attacks,  the  patient  should 
use  care  in  diet,  and  the  bowels  should  not  be  permitted  to  become 
costive;  daily  bathing  should  be  practiced,  and  all  excitement  and 
mental  and  bodily  exertion  should  be  avoided.  Intoxicating  drinks 
should  be  abandoned,  if  used,  and  the  clothing  should  be  warm 
and  comfortable. 


ECLECTIC  AND  HERBAL. 


Apply  cold  water  freely  to  the  head  and  face,  and  place  the  feet 
and  legs  in  warm  water,  to  which  has  been  added  some  powdered 
Mustard  or  Cayenne.  If  the  patient  does  not  rapidly  recover,  an 
injection  composed  of  the  following  may  be  used: 

Castor  Oil,  - - ...  - * 1 gill. 

Compound  Tincture  of  Lobelia  and  Capsicum,  2 drachma. 

WarnrWater,  . 1 pint. 

Molasses,  1 gill. 

Fine  Salt,  ------  1 drachm. 

Mix,  and  use  at  one  injection,  repeating  every  fifteen  minutes  if 
necessary. 

A drop  or  two  of  Croton  oil  on  a piece  of  sugar,  may  be  placed 
on  the  tongue,  as  far  back  as  possible. 

If  the  attack  is  caused  by  intoxication,  an  emetic  of  Salt,  Mus- 
tard or  Lobelia  may  be  given. 

It  is  well  to  promote  perspiration,  for  which  purpose,  Composi- 
tion powder  and  Pennyroyal  or  Catnip  tea  may  be  used. 


112 


OUR  FAMILY  PHYSICIAN. 


If  the  attack  is  produced  by  opium,  the  patient  should  be  made 
to  drink  freely  of  strong  coffee,  and  compelled  to  walk  between  two 
attendants  for  a*long  time. 

After  recovery,  be  careful  in  regard  to  diet  and  habits,  avoiding 
all  seasoned  food,  wines  and  liquors,  bathing  frequently,  and  tak 
ing  plenty  of  exercise  in  the  open  air. 

HOMEOPATHIC. 

If  poison  be  suspected,  it  must  be  removed  by  an  active  emetic, 
as  Sulphate  of  Zinc,  or  by  the  stomach  pump.  If  caused  by 
opium  or  belladonna,  use  strong  coffee. 

Opium.  — If  the  attack  occurs  in  old  people,  attended  with 
buzzing  in  the  ears,  hardness  of  hearing,  redness  of  the  face,  con- 
stipation, inability  to  answer,  difficulty  of  arising,  breathing  labored 
and  snoring,  cold  sweat  on  the  face,  arteries  of  the  temples  throb- 
bing. 

Belladonna.  — Face  swollen,  bluish  or  dark  red,  distension  of  the 
veins  of  the  head  and  neck,  pupils  of  the  eye  dilated  and  the  eye 
bloodshot,  grinding  of  the  teeth,  suppression  or  involuntary 
discharge  of  urine.  When  the  patient  recovers  somewhat,  this 
remedy  may  be  given  for  dizziness,  throbbing  pains  in  the  head, 
heaviness  and  pressure  in  the  head,  cramp-like  pains  in  the  face 
and  limbs,  roaring  in  the  ears,  constipation,  aggravation  of  pains 
by  movement  or  contact. 

Cojfea.  — Apoplexy  in  nervous  persons  caused  by  violent  emo- 
tions. 

Aconite.  — Congestion  or  sudden  rush  of  blood  to  the  head  and 
buzzing  in  the  ears,  deadly  paleness  of  countenance,  pain  in  the 
head  and  vomiting,  burning  and  throbbing  pains  in  the  forehead 
and  temples,  pupils  of  the  eyes  dilated,  face  swollen,  red  and 
heated,  paralysis  of  the  tongue,  difficulty  of  swallowing. 

Nux  Vomica . — For  persons  of  sedentary  habits,  or  those  in  the 
habit  of  using  liquor,  particularly  if  there  is  headache  in  the  right 
side,  with  dizziness  — may  be  given  in  alternation  with  Opium. 

Ilyosciamus . - — The  patient  falls  suddenly,  with  a viplent  shriek, 
convulsive  movements,  and  labored  breathing,  the  attack  preceded 
by  languor  and  momentary  loss  of  consciousness,  disposition  to 
sleep  often,  and  too  long,  starting  up  from  sleep  in  affright,  body 
covered  with  profuse  perspiration,  frequent  attacks  of  dizziness, 
face  livid,  mind  sad  and  peevish,  eyes  red,  sparkling  and  staring 
and  protruding  from  their  sockets. 

Arnica.  — Injuries  to  the  head,  causing  Apoplexy. 

Mercury.  — Pain  in  the  head,  and  feeling  as  if  it  would  burst 
open,  uneasiness  and  heaviness  in  the  limbs,  frequent  paroxysms 
of  loss  of  sight,  buzzing  in  the  ears.  This  may  be  used  after  Bel- 
ladonna. 


GENERAL  DISEASES. 


113 


Ipecac.  — When  caused  by  overloading  the  stomach  with  rich 
food. 

Administration  of  Remedies.  — Dissolve  fifteen  globules  in  twelve 
teaspoonsful  of  water,  and  give  a teaspoonful  every  ten,  fifteen,  or 
twenty  minutes,  during  the  attack,  and  after  the  attack,  every  two 
or  three  hours. 

Inflammation  of  the  Bbain. 

For  the  treatment  of  this  disease,  see  Brain  Fever,  in  Chapter 
Second. 

Sun  Stroke,  ob  Coup  de  Soleil. 

This  in  some  respects  resembles  Apoplexy.  It  is  caused  by  ex- 
posure of  the  head  to  the  direct  rays  of  the  sun.  The  person  falls 
down  in  a senseless  condition,  and  if  not  relieved  very  soon,  dies. 

Symptoms . — Dizziness,  thirst,  and  sometimes  falling,  difficult 
breathing. 


GENERAL  TREATMENT. 

Remove  the  person  to  a cool,  shady  place,  unbind  any  clothing 
about  the  neck,  and  pour  cold  water  upon  the  head  and  neck,  con- 
tinuing the  pouring  for  a long  time,  and  steadily. 

Rub  the  body  and  limbs  vigorously  with  the  hand. 

ECLECTIC  AND  HERBAL. 

As  soon  as  the  patient  can  swallow,  a cathartic  should  be  used,  as 
one  half  a leaspoonful  of  Jalap  in  water,  or  one-fourth  of  a tea- 
spoonful of  Cream  of  Tartar  may  be  added  to  the  Jalap.  Castor 
Oil  may  sometimes  be  given  with  good  effect. 

For  the  effects  remaining  after  the  sunstroke,  the  following  may 
be  given : 


Extract  of  Belladonna, 

5 

grains, 

Alcoholic  Extract  of  Black  Cohosh,  - 

- 40 

n 

Sulphate  of  Quinine, 

20 

a 

Bodophyllin,  - 

• 10 

46 

Mix,  and  divide  into  forty  pills, 
Dose,  three  pills  a day. 

Or, 


8 


Ill 


OUR  FAMILY  PHYSICIAN. 


Prickly  Ash  Bark, 

1 ounce 

Red  Chickweed,  - 

- 1 “ 

St.  John’s  Wort,  - 

1 “ 

White  Weed,  .... 

- 1 “ 

Boiling  Water,  - 

1 quart. 

Steep  near  the  fire,  five  or  six  hours.  Dose,  a wineglassful  three 
or  four  times  a da y. 

HOMEOPATHIC. 

Aconite.  — May  be  given,  a dose  every  fifteen  minutes. 

Belladonna.  — When  -there  is  a severe  jerking,  burning,  starting 
pain  on  one  side  of  the  head,  or  violent  oppression  in  the  forehead, 
increased  by  motion,  stooping,  noise  and  light.  This  may  be  given 
in  alternation  (turn  about)  with  A conite. 

Glonoine.  — This  is  the  principal  remedy  in  this  disease,  and 
should  be  given,  a dose  every  five  minutes. 

Camphor . — Especially  if  the  patient  is  perspiring  and  breathing 
heavily,  may  be  given  in  alternation  with  Glonoine. 

Lachesis.  — Also  given  in  some  cases. 

Adminstration  of  Remedies.  — Dissolve  twelve  or  fifteen  globules 
in  twelve  teaspoonsful  of  water,  and  give  a teaspoonful  every  five, 
ten,  fifteen  minutes,  or  half  an  hour,  and  after  the  attack,  continue 
the  remedy  every  two,  three,  or  four  hours.  Small  quantities  of 
Brandy  may  be  given  sometimes. 

Persons  liable  to  an  attack  should  be  careful  of  exposing  them 
selves  to  the  sun,  and  should  wear  either  a cloth  wet  in  cold  water 
or  leaves  in  the  hat. 

ALLOPATHIC. 

Oil  of  Turpentine,  or  a solution  of  Ammonia  or  Alcohol  may  be 
given  by  injection  when  the  patient  cannot  swallow.  The  treat- 
ment for  this  may  be  about  the  same  as  in  Apoplexy. 

Headache. — Headache  from  Catarrh. 

This  headache  is  occasioned  by  cold  in  the  head,  and  may  con- 
tinue for  a long  time  after  the  cold  has  been  cured.  Sometimes  it 
comes  on  at  regular  seasons,  and  is  very  apt  to  occur  in  the  Spring 
and  Fall,  and  during  damp  weather. 

treatment.  — eclectic  and  herbal. 

The  following  snuff  may  be  used  : 

Pulverized  Bay  Berry, 


1 ounce. 


GENERAL  DISEASES. 


115 


Peruvian  Bark,  - 1 ounce, 

Blood  Root, 1 “ 

Mix  them  well  in  a mortar,  and  use  several  times  a day. 

Scotch  snuff  may  be  added  to  this,  if  preferred  by  the  patient. 

HOMEOPATHIC. 

Mux  Vomica . — Heaviness  in  the  forehead,  running  of  the  nose, 
feverish  heat  in  the  head,  cheeks  and  body. 

Mercury . — This  is  useful,  when  the  catarrh  has  assumed  an  epi- 
demic form  (when  many  people  have  it  at  the  same  time,)  and  when 
there  are  pressing  pains  in  the  forehead  and  over  the  nose,  frequent 
sneezing,  and  running  at  the  nose,  with  redness,  and  excoriation 
or  rawness,  and  itching,  accompanied  by  fever  and  pains  in  the 
limbs,  and  thirst. 

Sulphur.  — Sometimes  relieves,  when  the  following  symptoms 
are  present : fullness,  pressure  and  heaviness  in  the  forehead, 
stitches,  and  painful  jerkings,  especially  in  the  left  side. 

Tartar  Emetic. — Frequent  sneezing,  loss  of  taste  and  smell. 

Arsenicum.  — The  most  important  remedy  in  this  disease,  and 
very  effectual  in  chronic  cases. 

Aconite.  — When  there  are  pressing  and  dull  feelings  and  heat 
in  the  forehead,  worse  at  night,  better  in  the  open  air,  with  run- 
ning at  the  nose  and  eyes. 

Chamomilla.  — Jerking  and  tearing  sensation  in  the  side  of  the 
head,  sore  throat,  hoarseness,  and  bitter  taste  in  the  mouth. 

Administration  of  Remedies.  — Dissolve  six  globules  in  three  table- 
spoonsful  of  water,  and  take  a teaspoonful  every  half  hour,  hour, 
two,  three,  or  four  hours,  during  the  attack,  according  to  the 
severity  of  the  symptoms.  If  not  relieved  within  a few  hours, 
select  a new  remedy. 

For  chronic  headaches,  which  occur  at  particular  periods,  take  a 
dose  every  other  evening  of  the  selected  remedy. 

ALLOPATHIC. 

The  following  liniment  may  be  used  with  good  effect : 

Extract  Aconite, 1 scruple. 

Soap  Liniment,  1 ounce. 

Compound  Camphor  Liniment,  - - - 1 u 

Apply  to  the  forehead, 

The  following  pills  may  be  taken  at  the  same  time. 

Iodide  of  Iron, £ drachm. 

Extract  of  Bark, “ 

Mix.  Divide  into  twenty-four  pills,  and  take  two  pills  twice  a day 


116 


OUR  FAMILY  PHYSICIAN. 


Headache  from  Congestion  of  Blood  to  the  Head. 

Symptoms.  — Throbbing  in  the  bead  and  beating  of  the  arteries 
of  the  neck,  vomiting  as  the  pain  increases,  pain  also  in  shaking 
or  moving  the  head,  lying  down  or  stooping. 

GENERAL  TREATMENT. 

Bathe  the  head  with  warm  water  and  vinegar,  and  bathe  the  feet 
also  with  warm  water,  rubbing  them  hard  afterwards.  Bathe  the 
temples  and  forehead  with  warm  or  cold  water  as  the  patient  may- 
desire. 

homeopathic. 

Aconite.  — Violent  throbbing,  humming  sensation  over  the  whole 
brain,  forehead  and  face  red  and  bloated,  eyes  red  and  sensitive  to 
the  light,  pain  worse  in  morning,  on  drinking,  talking,  or  rising  up, 
pulse  full  and  quick. 

Belladonna. — Violent  aching  pains  as  if  the  head  would  split 
or  the  brain  protrude  from  the  forehead,  head  hot,  feet  cold,  a feel- 
ing as  of  water  in  the  forehead,  violent  beating  of  the  arteries  of 
the  neck  and  temples,  delirium,  with  a red,  bloated  face,  eyes 
bloodshot,  with  great  sensitiveness  to  light,  noise  and  touch,  and 
afterwards  deeply  seated  pressing  pains,  with  a pale  face  and 
drowsiness,  feeling  worse  on  moving  the  eyes,  or  raising  or  moving 
the  head.  This  may  be  given  in  alternation  (turn  about)  with 
Aconite,  if  Aconite  does  not  relieve. 

Pulsatilla . — Pain  dull  and  oppressive  on  one  side  only,  com- 
mencing at  the  back  of  the  head,  or  root  of  the  nose,  relieved  by 
compression  or  lying  down,  and  worse  while  sitting  or  walkingr 
face  pale,  mind  agitated,  inclination  to  weep,  dizziness.  This  is 
more  suitable  for  females  and  persons  of  mild  temperament. 

Bryonia.  — Distending  pressure  from  within,  particularly  through 
the  forehead  in  stooping  or  moving,  with  violent  beating  or  stitches 
in  the  head,  constipation  of  the  bowels  and  bleeding  at  the  nose. 

Rhus-  Tox.  — Fullness  in  the  head  with  burning  and  throbbing 
pain,  weight  in  the  back  part  of  the  head,  with  a sensation  as  of 
a fluid  rolling  inside  ; may  be  given  in  alternation  with  Belladonna 
or  Bryonia. 

Nux  Vomica.  — Pains  worse  in  the  morning  and  in  the  open  air, 
heaviness  of  the  head,  especially  on  moving  the  eyes  and  thinking, 
sensation  as  if  the  skull  would  split,  bruised  pain  in  the  brain, 
worse  on  stooping  or  motion,  rush  of  blood  to  the  head. 

Opium.  — Constipation,  with  rush  of  blood  to  the  head,  violent 
tearing  and  pressing  pains  through  the  whole  brain,  and  heaviness, 
with  beating  in  the  head. 


GENERAL  DISEASES, 


1X7 


ALLOPATHIC. 

The  following  may  be  given 

Spirits  of  Mindererus,  - - • 2 ounces. 

Sweet  Spirits  of  Nitre,  1 ounce. 

Mix,  and  take  a teaspoonful  every  three  hours. 

When  a person  is  liable  to  these  headaches,  a teaspoonful  of 
the  above  may  be  taken  twice  a day.  At  night  some  gentle 
physic,  as  Castor  Oil  or  Epsom  salts,  may  be  taken,  and  the  follow- 
ing in  the  morning : 

Rochelle  Salts,  - - • - 2 drachms. 

Bi-carbonate  of  Soda,  • • - - 2 scruples. 

Water,  ^ pint. 

Mix.  To  this  mixture  add  thirty-five  grains  of  Tartaric  Acid, 
and  take  the  whole  while  foaming. 

ECLECTIC  AND  HERBAL. 

If  the  difficulty  is  caused  by  too  much  blood,  treatment  must  be 
pursued  to  deplete  the  system.  The  patient  should  use  cooling 
food  and  that  which  is  easily  digested,  avoiding  every  thing  that 
is  rich  and  hearty.  The  feet  and  legs  may  be  bathed  in  warm 
water,  to  which  either  ground  mustard  or  cayenne  pepper  has  been 


added. 

The  following  may  be  given : 

Podophyllin, 

15 

grains 

Gamboge, 

- 15 

u 

Scammony, 

15 

u 

Rhubarb, 

- 15 

u 

Cayenne,  .... 

15 

u 

Make  into  twenty  pills,  adding  a little  extract  of  Mandrake  or 
Dandelion.  If  Podophyllin  cannot  be  obtained,  use  the  same 
quantity  of  Aloes.  One  dose  of  this  will  generally  relieve  the 
headache,  but  in  order  to  produce  permanent  relief,  a dose  must  be 
taken  every  night  for  several  weeks. 

The  following  pills  may  be  used  with  good  effect : 

Pulv.  Cayenne, 60  grains. 

Quinine,  10  “ 

Ipecac,  ------  15  “ 

Pulv.  Opium,  - - - - - 10  u 

Make  into  thirty  pills,  and  take  one  pill  night  and  morning. 


118 


0U&  FAMILY  PHYSICIAN. 


Headache  from  Rheumatism. 

This  only  affects  persons  who  are  subject  to  Rheumatism.  It 
is  often  produced  by  uncovering  the  head  while  perspiring.  The 
pain  is  usually  in  the  forehead,  temples  and  back  of  the  head,  and 
is  dull  and  aching,  rather  a sensation  of  soreness  than  a real  pain, 
the  head  being  painfully  sensitive  to  pressure. 

ALLOPATHIC. 

The  following  pills  may  be  taken  : 

Acetous  Extract  of  Colchicum,  - - 1 grain. 

Compound  Extract  of  Colocynth,  * - 2 grains. 

Powder  of  Ipecac,  • £ grain. 

Mix.  This  may  be  made  into  a pill,  and  taken  every  nignt. 
The  feet  may  be  bathed  with  cold  water,  and  the  head  with  cologne, 
or  the  following  lotion  may  be  used  : 

Spirits  of  Wine,  - • 2^  ounces. 

Or,  Brandy,  ------  £ pint. 

Cold  Water,  (that  has  been  boiled)  - 1 “ 

The  following  liniment  may  be  found  beneficial  in  some  cases* 

Soap  Liniment,  - - - - ounces. 

Liquor  Ammonia,  ....  drachm. 

Laudanum, ounce. 

Mix.  A mustard  poultice  applied  to  the  back  of  the  neck  will 
sometimes  relieve,  and  the  following  may  be  taken  : 

Compound  Pill  of  Colocynth,  - - 14  grains. 

Ext.  of  Colchicum,  - - - - 4 u 

Oil  of  Caraway,  ....  - 2 drops. 

Mix,  and  make  into  four  pills.  Dose,  a pill  at  bed  time. 


ECLECTIC  AND  HERBAL. 


The  following  liniment  may  be  used : 

Brandy,  ..... 

1 

pint. 

Salt-petre,  ^ - - 

• H 

ounces. 

Camphor,  - 

Spts.  Turpentine,  .... 

i 

ounce. 

- i 

gin. 

Mix.  May  be  applied  to  the  head,  on  a flannel  well  ironed,  until 
dry. 

This  disease  should  be  treated  as  a case  of  Rheumatism,  to  which 
refer. 


GENERAL  DISEASES. 


119 


HOMEOPATHIC. 

Chamomilla.  — Drawing  and  tearing  pains  in  one  side  of  the  head 
which  shift  about,  head  very  sensitive  to  touch,  covered  with  hot 
perspiration,  one  cheek  red,  with  paleness  of  the  other.  Alter- 
nate with  Pulsatilla  in  the  morning,  or  Nux  Yomica  in  the  eve- 
ning. 

Colocynth , — Violent  boring,  drawing,  cramping  or  aching  pains, 
with  nausea,  and  vomiting,  worse  on  stooping,  or  lying  on  the  back, 
and  appearing  generally  in  the  afternoon. 

Ipecac.  — Pains  gnawing,  and  tearing,  and  very  severe,  relieved 
by  heat,  and  vomiting,  sensation  through  the  skull,  as  if  the  brain 
were  bruised. 

Nux  Vomica . — Drawing  pains  in  one  side  of  the  head,  with  a 
bruised  sensation  of  the  head,  worse  when  stooping,  or  in  the  open 
air,  and  accompanied  with  nausea,  or  sour  vomiting. 

Pulsatilla.  — Darting,  tearing,  jerking  pains  on  one  side  only,  par- 
ticularly in  the  temples,  with  feelings  as  if  the  brain  were  lacerated. 

China.  — Pains  at  night,  with  sleeplessness,  jerking,  tearing 
pains,  boring  on  the  top  of  the  head,  with  a bruised  feeling  in  the 
brain,  worse  in  the  open  air,  on  touch,  motion,  or  in  a draught  of 
air,  sensitiveness  even  to  the  roots  of  the  hair. 

Bryonia.  — Rending,  shooting  pains  from  the  neck  up  to  the  sides 
of  the  head,  shivering  as  in  fever,  pains  worse  on  motion  or  at 
night,  or  during  changeable  weather.  May  be  given  in  alternation 
with  Rhus. 

Administration  of  Remedies.  — Take  six  globules  at  a dose,  or  dis- 
solve fifteen  globules  in  half  a cup  of  water,  and  give  a teaspoon- 
ful every  half  hour,  hour,  two,  three,  or  six  hours,  according  to  the 
severity  of  the  symptoms. 

Headache  from  Constipation  and  Gastric  Derangement. 

Symptoms.  — Dull  weight  in  the  head,  languor  and  disinclination 
to  exertion,  furred  tongue,  bad  taste  in  the  mouth,  slight  nausea, 
eyes  aching  when  employed,  loss  of  appetite  and  sometimes  vomit- 
ing; 

Causes . — Improper  diet,  eating  late  at  night,  or  in  short,  any- 
thing that  deranges  the  digestive  organs. 

TREATMENT. ALLOPATHIC. 

If  pain  comes  on  immediately  after  a meal,  and  has  oeen  caused 
by  something  eaten,  an  emetic  as  the  following  may  be  taken: 

Pulv.  Lobelia,  - 1 ounce. 

Pulv.  Blood  Root,  . m i u 


iso 


oea  i'amo*  pomei**. 


Pulv.  Seneca,  1 scruple. 

Pulv.  Ipecac,  - - - - * - 6 drachms. 

Pulv.  Cayenne,  - - - - 4 scruples. 

Mix.  Dose,  one-half  teaspoon ful  in  warm  water,  and  repeating 
every  fifteen  minutes,  until  several  doses  have  been  taken. 

If  the  pain  comes  on  several  hours  after  eating,  take  one  of  the 
following : 

Powdered  Jalap, 

Cream  of  Tartar,-  - 

Mix.  Take  at  one  dose  in  Syrup  or  Molasses. 

Or  this : 

Pulv.  Rhubarb,  - 

Leptandrin,  ------ 

Calcined  Magnesia,  • 

Pulv.  Cinnamon,  - 

Mix.  Dose,  three  or  four  grains  every  hour. 

If  the  system  is  weak  and  reduced,  the  following  may  be  taken : 

Compound  Infusion  of  Senna,  - - -5  drachms. 

Infusion  of  Rhubarb,  - - - - 6 “ 

Compound  Tinct.  Cardamon.  - - - £ drachm. 

Syrup,  - - - - - - 2 drachms. 

Mix,  and  take  at  one  dose.  This  should  be  taken  in  the  morn- 
ing after  a light  breakfast. 

If  the  system  be  very  irritable,  the  following  may  be  taken: 

Tris  Nitrate  of  Bismuth,  - - - 6 grains. 

Bi-carbonate  of  Soda,  - * - - 6 “ 

Pulv.  Cayenne,  - - - - - 1 “ 

Mix.  Take  at  one  dose,  twice  a day. 

If  the  headache  is  caused  by  a debauch,  the  following  may  be 
taken : 


10  grains. 
2 “ 


1 scruple. 
10  grains. 

2 scruples 
10  grains. 


Solution  of  Acetate  of  Ammonia, 
Tinct.  Orange  peel, 

Syrup  of  Orange  peel, 

Tinct.  of  Cayenne, 

Compound  Infusion  Orange  peel, 

Mix,  and  take  at  one  dose. 


-J-  ounce 
1-J-  drachms. 
1 drachm. 
25  drops. 

5 drachms. 


If  the  headache  is  caused  by  any  derangement  of  the  liver,  give 
the  emetic  first  above  named,  and  afterwards  the  following  : 

Pulv.  Rhubarb,  - - - - - 12  grains. 

Carbonate  of  Magnesia,  ...  10  “ 


mmBAL  BISHAS M. 


m 


Aromatic  Spts.  of  Ammonia,  % drachm. 

Syrup  of  Ginger,  ....  “ 

Spearmint  Water,  - * - - - 10  drachms. 

Mix.  Take  at  one  dose. 

To  relieve  the  liver,  the  following  may  be  taken : 

Leptandrin,  ------  1 drachm. 

Podophyllin, 1 scruple. 

Apocynin,  - - - - - - 1 u 

Ext.  Nux  Vomica,  6 grains. 

Castile  Soap,  - - - - - 1 drachm. 

Make  into  thirty  pills.  Dose,  one  pill  every  night. 


ECLECTIC  AND  HERBAL. 


When  the  headache  is  caused  by  constipation,  the  following  will 
be  found  an  excellent  prescription : 

May  apple,  . - - - . - - 1 ounce. 

Mandrake  Root,  ■•••••  1 “ 

Blue  Flag  Root, 1 " 

Golden  Seal  Root,  - - - - 1 “ 

Yellow  Puccoon,  - - - - • 1 “ 

Prickly  Ash  bark, 

Beef  Gall, 1 gill. 

Whiskey, 1-J-  pints. 

Mix.  Let  the  mixture  stand  for  two  weeks.  Dose,  a teaspoon- 
ful two  or  three  times  a day. 

The  following  is  also  recommended  : 


Podophyllin, 

Gamboge, 

Scammony, 

Rhubarb, 

Cayenne, 

Make  into  25  pills, 
mass. 

Dose,  three  pills  at  night,  and  three  in  the  morning 


20  grains. 
20  •“ 

20  “ 

20  “ 

20  “ 


Use  extract  of  Mandrake  to  form  the  pill 


HOMEOPATHIC. 

Nux  Vomica.  — Brain  feels  sore  on  walking,  or  moving  the  head, 
pressing  on  the  temples,  eyes  dull,  sleeplessness,  head  feels  heavy, 
worse  on  moving  the  eyes,  or  on  mental  effort,  worse  in  the  morn- 
ing, in  the  open  air,  or  after  meals. 

Pulsatilla.  — Shivering,  with  thirst,  pain  on  one  side,  patient  of 
a mild  and  quiet  disposition. 

Bryonia. — Head  feels  as  if  pressed  together  from  both  sides,  and 


122 


OUB  FAMILY  PHYSICIAN. 


on  stooping  as  if  everything  would  fall  out  of  the  forehead,  bleed- 
ing of  the  nose  without  relief,  and  watering  of  the  eyes. 

Opium . — Violent,  tearing  pains,  pressing  sensation  in  the  fore- 
head, throbbing  of  the  temples,  congestion  of  the  head,  mouth  dry, 
thirst,  inclination  to  sour  and  offensive  vomiting. 

Mercwy. — Fullness  of  the  head,  as  if  it  would  fly  apart,  pain 
alleviated  by  pressing  the  head  with  the  hands,  the  trouble  worse 
at  night,  and  in  the  warmth  of  the  bed. 

Silicea . — Beating  pains  from  the  back  of  the  neck  to  the  top  of 
the  head,  pressing  in  the  head  as  if  it  would  split,  sleeplessness, 
and  worse  in  the  morning  when  waking,  or  when  reading,  writing 
or  thinking,  together  with  constipation  with  ineffectual  urging  to 
stool.  Lachesis  or  Lycopodium  maybe  given  in  alternation,  when 
there  are  pains  in  the  head,  as  if  being  cut  with  knives  or  hammering 
on  stooping,  with  congestion  of  the  head,  disposition  to  faint,  and 
great  restlessness. 

Sepia . — Headache  on  jerking  or  moving  the  head,  or  walking, 
with  a tendency  of  blood  to  the  head,  nausea,  and  vomiting,  heavi- 
ness, and  confusion,  worse  in  the  morning,  and  on  looking  at  bright 
sunlight. 

Antimonium.  — Pain  worse  on  going  up  stairs,  and  better  in  the 
open  air. 


Sick  Headache. 

This  form  of  headache  is  generally  of  a chronic  nature,  and  de- 
pends upon  some  derangement  of  the  stomach  or  bowels.  It  re- 
ceives its  name  from  the  constant  nausea  and  vomiting  which  usu- 
ally attend  it.  It  usually  begins  in  the  morning,  or  on  waking  from 
a deep  sleep,  or  after  sleeping  in  a close  room,  or  when  some  irreg- 
ularity in  the  diet  has  been  committed.  At  first,  there  is  an  op- 
pressive feeling  in  the  head,  which  gradually  becomes  dull  and  ach- 
ing, moving  from  one  point  to  another.  There  is  a sensation  of 
fullness  and  tenderness  in  one  eye,  extending  across  the  forehead, 
the  tongue  is  coated  with  a yellowish  white  fur,  and  there  is  an 
unpleasant  clammy  taste  in  the  mouth.  The  hands  and  feet  are 
cold  and  moist,  and  the  pulse  feeble.  Accompanying  these  symp- 
toms, there  is  a depressing  sickness  at  the  stomach,  which  is  in- 
creased by  sitting  up,  and  moving  about,  the  pain  being  generally 
relieved  by  vomiting. 


GENERAL  DISEASES. 


123 


TREATMENT. — ECLECTIC  AND  HERBAL. 

The  following  preparation  is  recommended  : 

Super-carbonate  of  Soda,  £ drachm. 

Prepared  Charcoal, 1 “ 

Paregoric,  - 1 u 

Water, 1 ounce. 

Mix,  and  give  at  one  dose.  This  should  be  repeated  every  fifteen 
minutes,  until  relief  is  obtained. 

Bathing  the  head  with  a mixture  of  spirits,  vinegar,  and  water, 
equal  parts,  will  be  found,  advantageous. 

As  an  emetic,  the  following  may  be  used:  take  equal  parts  of 
Ipecac  and  powdered  Lobelia  seed,  add  sufiieieut  quantity  of  water, 
and  let  it  steep  for  a few  moments.  Give  this  in  portions,  at  inter- 
vals of  five  or  ten  minutes.  The  patient,  at  the  same  time,  should 
drink  freely  of  Sage,  Pennyroyal,  or  Composition  tea.  After  the 
patient  has  vomited  thoroughly,  some  mild  cathartic  may  be  given. 

To  act  on  the  liver,  and  regulate  the  bowels,  give  a cathartic  pill 
once  or  twice  a day.  Bathe  the  feet  in  warm  water  in  which  has 
been  put  some  wood  ashes. 

A specific  for  Sick  Headache  is  prepared  by  Snow  & Earle,  of 
Providence,  R.  L,  under  the  name  of  “ Biliousine.”  This  medicine, 
which  is  excellently  recommended,  and  can  be  obtained  at  any  drug 
store,  is  taken  as  a preventive,  in  doses  of  half  a teaspoon ful  at  night, 
two  or  three  times  a week,  and  in  case  of  violent  attack,  a teaspoon- 
ful once  an  hour  until  there  is  relief, 
v 

HOMEOPATHIC. 

Belladonna. — Headache  coming  on  at  certain  times,  pains  return 
in  the  afternoon  and  continue  until  after  midnight,  being  aggravated 
by  the  warmth  of  the  bed,  or  lying  down,  the  headache  stupefying, 
mostly  in  the  forehead,  and  accompanied  sometimes  with  loss  of 
consciousness.  There  is  a sensation  as  if  the  head  would  split, 
the  pains  being  of  a violent  biyming,  rending,  or  shooting  charac- 
ter, commencing  sometimes  gently,  but  afterwards  increasing  to  a 
fearful  intensity.  This  remedy  may  also  be  used  for  headache  after 
taking  cold,  when  there  is  a jolting  sensation  in  the  head  and  fore- 
head, on  stooping  or  going  up  stairs,  buzzing  in  the  ears,  d’mness 
of  sight,  pains  extend  to  the  eyes  and  nose,  but  mostly  confined  to 
one,  side,  usually  the  right,  and  are  aggravated  by  every  motion,  by 
turning  the  eyes,  by  bright  light,  by  the  slightest  noise,  by  stoop- 


124 


0'iJK  FAMILY  PHYSICIAN. 


ing  forward,  or  leaning  the  head  backwards,  scalp  very  sore ; there 
i3  alternate  chilliness  and  heat,  tongue  being  coated,  accompanied 
with  nausea,  and  loathing  of  food. 

Ipecac.  — Stitch-like  pains,  and  great  heaviness,  giddiness  when 
walking,  pressure  in  the  head,  especially  in  the  forehead,  the  pains 
affecting  the  bones  of  the  skull,  with  coldness  of  the  hands  and 
feet,  the  tongue  coated  white  or  yellow,  nausea,  and  vomiting. 
This  is  to  be  given  in  cases  of  headache  which  commence  with 
nausea  and  vomiting,  accompanied  with  a bruised  sensation  about 
the  head.  This  may  be  given  in  alternation  with  Nux  Vomica, 
when  there  are  shooting  pains  in  the  side  of  the  head,  worse  in  the 
open  air,  and  vomiting. 

Hyosciamus.  - — If  with  the  headache  there  is  great  sensitiveness 
to  light,  and  where  the  pain  is  worse  in  the  warmth  of  the  bed,  on 
lying  down,  or  in  a draught  of  air. 

Spigelia.  — Pains  worse  on  the  left  side,  great  sensitiveness  to 
noise,  beating  in  the  temples,  which  is  aggravated  by  the  least 
motion,  even  by  opening  the  mouth  ; the  headache  appearing  at 
regular  times  each  morning  and  increasing  in  severity  as  the  day 
wears  on.  This  remedy  may  be  given  in  alternation  with  Bella- 
donna. 

Aconite . — Cramp-like  pain  through  the  forehead  or  above  the 
root  of  the  nose,  headache  as  though  the  brain  were  raised  or 
moved  about,  especially  upon  motion  ; the  least  noise  or  motion  is 
intolerable,  the  pain  being  aggravated  by  reading  or  speaking. 
With  this  sensation  there  is  buzzing  in  the  ears,  and  a feeling  on 
the  top  of  the  head  as  though  the  hair  was  being  pulled. 

Sanguinaria. — Chilliness  and  nausea,  great  sensitiveness  to  the 
talking  of  others  in  the  same  room,  accompanied  with  a fullness  of 
the  head  as  if  it  would  burst,  the  sensation  being  worse  on  the 
right  side,  with  a feeling  as  if  the  eyes  were  pressed  outward. 

Antimonium . — Dull,  boring  pains^  especially  in  the  bones  of  the 
head,  boring  in  the  temples  and  forehead,  from  within,  outward  ; 
pains  worse  in  the  open  air,  accompanied  with  rush  of  blood  to  the 
head,  nausea  and  vomiting  of  bile  and  mucus.  Pulsatilla  may  be 
given  where  Antimonium  does  not  relieve. 

Aloes.  — If  the  patient  complains  of  stitches  in  the  left  temple, 
the  headache  appearing  periodically. 

To  eradicate  the  disposition  to  sick  headache,  Pulte  recommends 
that  Sepia,  Silicea  and  Sulphur  should  be  taken,  each  remedy  for 
six  weeks,  commencing  with  Sepia  ; for  the  first  three  weeks,  take 
each  week  two  doses  in  the  evening  on  going  to  bed  ; for  the  last 
three  weeks,  one  dose  every  week. 

Administration  of  Remedies.  — Three'  or  four  globules  may  be 
given  at  a dose,  or,  if  dissolved,  put  twelve  globules  in  as  many 


GENERAL  DISEASES. 


125 


teaspoonsful  of  water,  and  take  one  teaspoonful  at  a dose.  This 
may  be  repeated  every  fifteen  minutes,  half  hour,  hour,  or  two  or 
three  hours,  according  to  the  severity  of  the  symptoms. 


ALLOPATHIC. 

While  the  pain  is  intense,  accompanied  by  nausea,  give  an 
emetic  of  one  scruple  of  Ipecac,  and  one  grain  of  Tartar  Emetic, 
followed  by  Blue  pill  one  scruple,  Compound  Rhubarb  pill  two 
scruples.  Mix.  Divide  into  twelve  pills,  and  take  one  or  two  at 
a dose. 

When  caused  by  some  article  of  food,  warm  Chamomile  tea  or  a 
little  weak  brandy  and  water,  will  sometimes  relieve  ; and  a mus- 
tard poultice  on  the  stomach  will  sometimes  prove  beneficial.  As 
soon  as  anything  can  be  borne  on  the  stomach,  the  following  may 
be  taken : 


Magnesia, 15  grains. 

Solution  of  Potassa,  * - - - 15  drops. 

Compound  Tincture  of  Senna,  . - - 1^-  drachms. 

Compound  Infusion  of  Senna,  5 u 

Syrup  of  Ginger,  ....  l drachm. 

Compound  Infusion  of  Orange  peel,  - - ^ ounce. 

Mix,  and  take  at  one  dose. 

If  the  patient  is  weak,  lacking  in  energy,  and  the  tone  of  the 
system  impaired  generally,  the  following  may  be  taken  : 

Diluted  Sulphuric  Acid,  - • 15  drops. 

Dilute  Hydrochloric  Acid,  - - - 10  drops. 

Tincture  of  Orange  peel,  - - * 1-J-  drachms. 

Compound  Infusion  of  Gentian,  5 “ 

Syrup  of  Poppies,  ....  1 drachm. 

To  be  taken  at  one  dose  three  times  a day. 


Nervous  Headache.  — (Neuralgia  of  the  Head). 

This  headache  occurs  more  frequently  among  females. 

Symptoms . — Acute,  lancinating,  excruciating  or  darting  pains, 
worse  in  the  light,  a feeling  a3  if  the  temples  were  being  pressed 
together,  dizziness,  with  a feeling  of  sinking  down,  great  despond- 
ency and  restlessness,  exertion,  either  physical  or  mental,  impossi- 
ble ; dark  spots  floating  before  the  eyes,  head  generally  cool,  and 
face  pale.  The  pain  is  frequently  confined  to  small  spots,  and  is 
generally  worse  in  the  morning. 


126 


OUR  FAMILY  PHYSICIAN. 


TKEATMENT. HOMEOPATHIC. 

Coffea . — Pain  as  if  a nail  was  being  driven  into  the  head,  or  as 
if  the  brain  were  bored  and  bruised,  seeming  to  be  intolerable, 
and  driving  the  patient  almost  distracted  ; the  patient  very  rest- 
less, screams,  weeps,  has  an  aversion  to  the  open  air  ; pain  excited 
or  aggravated  by  the  slightest  noise,  even  music  being  sufficient  to 
produce  this  effect.  This  may  be  followed  by  Hepar  Sulphur,  Nux 
Vomica,  or  China. 

Aconite . — For  symptoms  calling  for  the  administration  of  this 
remedy  see  Sick  Headache. 

Belladonna . — Especially  when  the  pains  come  on  in  the  after- 
noon, and  last  until  the  next  morning,  and  also  when  the  pain 
commences  gently  and  increases  to  a fearful  intensity. 

Ignatia.  — Aching  pains  above  the  nose,  relieved  by  bending  the 
head  forward,  pressing  of  the  head,  from  within  outward,  sensa- 
tion as  if  a nail  had  been  driven'  into  the  head,  with  nausea,  dim- 
ness of  sight,  pale  face,  pain  momentarily  relieved  by  change  of 
position  ; the  patient  is  full  of  fear,  inclined  to  start,  impatient, 
and  wants  to  be  let  alone. 

Pulsatilla . — Tearing  pains,  worse  towards  night,  accompanied 
by  dizziness  and  sickness  at  the  stomach,  dimness  of  sight,  ringing 
in  the  ears,  countenance  pale,  yellowish,  or  haggard,  no  thirst, 
chilliness,  palpitation  of  the  heart,  a feeling  as  if  the  brain  would 
be  torn,  or  as  if  the  head  were  in  a vice,  or  as  if  the  skull  would 
fly  to  pieces,  especially  when  moving  the  eyes,  headache  after  lying 
down  in  the  evening,  or  early  in  the  morning  in  bed,  increased  by 
quiet,  or  sitting  still,  and  relieved  in  the  open  air,  or  by  the  pres- 
sure of  a tight  bandage. 

Bryonia. — Fullness  or  heaviness  of  the  head,  with  pressing  or 
burning  pains  in  the  forehead,  sensation  as  if  everything  would 
fall  from  the  forehead,  when  stooping,  tearing  pains  which  extend 
to  the  face  and  temples,  heat  in  the  head  and  face,  with  red  cheeks, 
and  thirst,  nausea,  and  vomiting,  everything  having  a bitter  taste, 
headache  worse  when  moving  about,  or  on  moving  the  eyes. 

Platina.  — - Headache  gradually  increases  and  decreases,  roaring 
in  the  head  as  of  water,  with  coldness  in  the  ears,  eyes,  and  on  one 
side  of  the  face,  twitching  of  the  eyelids,  buzzing  in  the  ears,  ob- 
jects appearing  smaller  than  they  really  are,  stupefying  pressure 
on  the  cheek  bones.  Is  useful  after  Belladonna. 

Mercurius.  — Headache  as  if  the  head  would  fly  to  pieces,  with 
fullness  of  the  brain,  tearing  sensation,  especially  in  the  left  side, 
a pain  shooting  down  from  the  teeth,  stitching  pain  in  the  ears,  the 
pain  being  relieved  by  pressing  the  head  with  the  hands.  v This 
may  follow  Belladonna,  and  where  both  these  remedies  fail  to  give 
relief,  give  Hepar  Sulphur,  especially  when  there  is  a boring  pain  at 


GENERAL  DISEASES. 


127 


the  root  of  the  nose,  or  a sensation  as  if  a nail  were  driven  into 
the  head. 

Colocynth.  — Violent,  tearing,  excruciating  pain  on  one  side  of 
the  head,  pressing  in  the  forehead,  worse  on  stooping,  or  lying  on 
the  back,  headache  coming  on  every  afternoon,  or  towards  evening, 
and  is  attended  with  a copious  flow  of  urine,  very  offensive,  to- 
gether with  profuse  perspiration  smelling  like  urine. 

Arsenicum . — Beating  pain  in  the  forehead,  inclination  to  vomit, 
buzzing  in  the  ears,  weeping,  and  moaning,  tenderness  of  the  scalp. 
Cold  applications  relieve  this  pain  for  awhile.  It  is  worse  when 
within  doors,  and  relieved  on  going  out  into  the  open  air.  This 
remedy  may  follow  Pulsatilla. 

Veratrum. — Oppressive  headache  on  top  or  one  side  of  the  head, 
accompanied  by  pains  in  the  stomach,  and  diarrhoea,  nausea,  and 
vomiting,  painful  sensitiveness  of  the  hair.  The  pain  is  sometimes 
so  severe,  as  to  deprive  the  patient  of  reason,  is  worse  when  lying 
in  bed,  accompanied  with  cold  perspiration,  and  chills.  This 
remedy  suits  well  after  Arsenicum. 

Silicea.  — Pain  ascends  from  the  back  of  the  neck  to  the  top  of 
the  head,  often  caused  by  getting  heated.  Tearing  pain  comes 
on  in  the  forenoon,  stitches  in  the  head,  especially  in  the  temples, 
scalp  painful  to  con /act,  and  the  hair  falling  out. 

Sulphur . — Headache  with  nausea,  feeling  of  fullness  or  weight 
in  the  head,  especially  at  the  top,  pain  as  of  a hoop  around  the 
head,  and  throbbing,  tearing  pains,  with  heat,  after  arising  in  the 
morning,  headache  every  day  as  if  the  head  would  split  to  pieces, 
humming  in  the  head,  hair  painful  to  touch,  or  falling  out. 

China.  — Suitable  for  a person  sensitive  to  pain,  of  a feverish, 
dissatisfied  disposition.  This  remedy  will  be  found  advantageous 
where  there  is  heaviness  in  the  head,  pressing  from  within  the  head 
outwards,,  tearing  pain  in  the  temples  as  though  the  head  would 
burst,  sensation  as  though  the  brain  jolted  about,  and  hit  against 
the  skull,  the  scalp  tender  to  touch,  pain  aggravated  by  contact, 
motion,  stooping,  conversation,  or  by  a draught  of  air.  Water, 
either  hot  or  cold,  as  is  most  agreeable,  may  be  applied  to  the 
head. 

Administration  of  Remedies.  — Give  four  or  six  globules  at  a dose, 
or  dissolve  twelve  globules  in  as  many  teaspoonsful  of  water,  and 
give  a teaspoonful  every  half  hour,  hour,  or  two  hours,  according 
to  necessity. 

ALLOPATHIC. 

Hoffman’s  Anodyne,  in  doses  of  one  drachm,  may  be  given,  and 
sometimes  Ether  may  be  applied  to  the  forehead,  by  the  hand;  or 
Cologne  Water  or  Bay  Rum  may  sometimes  be  found  beneficial. 


128 


OUR  FAMILY  PHYSICIAN. 


A mustard  poultice  may  be  applied  to  the  back  of  the  head  or  to 

the  temples. 

The  following  may  sometimes  be  used  : 

Extract  of  Hyosciamus,  ...  3 grains. 

Pulverized  Camphor,  - - - - 3 11 

Mix.  Make  into  three  pills,  and  take  one  when  the  pain  is  most 
severe. 

Or  this : 

Tincture  of  Hyosciamus,  ...  £ drachm. 

Aromatic  Spirit  of  Ammonia,  - - £ drachm. 

Syrup  of  Orange  peel,  - • • • J “ 

Peppermint  Water,  • 10  drachms. 

Mix. 

Or  this 

Extract  of  Hyosciamus,  ...  ^ drachm. 

Valerianate  of  Iron,  - - - 1 “ 

Mix.  Make  thirty  pills  and  give  from  one  to  three  pills  a day. 
If  the  patient  is  weak  and  exhausted,  a tonic  should  be  used,  as 


the  following  : 

Extract  of  Skull-cap,  .... 

2 

drachms. 

Extract  of  Chamomile,  - 

2 

u 

Extract  of  Boneset,  .... 

I 

drachm. 

Quinine,  ...... 

1 

u 

Pulverized  Cayenne,  .... 

I 

scrm 

)le. 

Oil  of  Valerian, 

4 

dracl 

im. 

Make  into  ninety  pills. 

Dose,  one  pill  every  two  or  three  hours. 

Compound  Infusion  of  Gentian,  - - 8 ounces. 

Nitro  Muriatic  Acid,  ....  30  drops. 

Mix.  Dose,  one  tablespoonful,  three  times  a day. 

ECLECTIC  AND  HEBBAL. 

The  following  pills  may  be  taken  : 

Extract  of  Aconite,  - - • - grain. 

Extract  of  Stramonium,  - * - i “ 

Valerianate  of  Quinine,  - ■ • m i “ 

Mix  for  one  pill.  Dose  should  be  repeated  every  one,  two  or 
three  hours,  according  to  the  severity  of  the  attack.  The  patient 
at  the  same  time  may  drink  freely  of  teas  of  Skull-cap  or  Catnip 
The  following  pills  are  also  highly  recommended  ; 


GENERAL  DISEASES. 


129 


Extract  of  Hyosciamus, 

30 

grains. 

Extract  of  Valerian, 

- 30 

(( 

Quinine,  - 

20 

u 

Cayenne,  - 

- 10 

u 

Make  into  thirty  pills. 

If  the  headache  is  very  severe  and  entirely  of  a nervous  charac- 
ter, add  to  the  above  three  grains  of  Sulphate  of  Morphine,  and  give 
one  pill  every  three  hours.  After  the  headache  is  relieved,  take  a 
pill  three  times  a day.  Not  more  than  five  pills  should  he  taken  in 
succession  within  twenty-four  hours,  on  account  of  the  Morphine. 

If  the  patient  requires  a tonic,  the  following  may  be  given  : 

Muriated  Tincture  of  Iron,  1 ounce. 

Tincture  of  Bloodroot,  - - - - - 1 “ 

Mix,  and  take  thirty  drops,  three  times  a day,  in  a little  water. 
Falling  off  of  the  Hair. 

To  prevent  the  loss  of  the  hair,  and  to  restore  it  when  lost,  its 
circulation  should  be  stimulated  from  the  scalp,  by  washing  the  head 
every  morning  with  cold  water,  drying  it  by  the  friction  of  a rough 
towel,  and  afterwards  brushing  it  with  a stiff  hair  brush. 

The  following  are  among  the  best  of  the  preparations  generally 
used,  though  it  may  be  suggested  that,  perhaps,  the  best  and  sim- 
plest thing  for  those  interested  is  to  go  to  a drug  store  and  buy,  al- 
ready prepared,  some  such  standard  preparation  as  “ Parker’s  Hair 
Balsam,”  which  has  stood  the  test  of  time,  which  contains  no  inju- 
rious ingredients,  but  is  a clean,  pure  and  natural  vegetable  combi- 
nation, that  gives  life  and  vigor  to  the  hair  by  supplying  and  feed- 
ing the  roots  with  new  vitality,  and  thereby  actually  restoring  it  by 
the  processes  of  nature.  The  preparation  mentioned  is  a delightful 
dressing,  it  eradicates  dandruff,  it  prevents  the  hair  from  falling  out 
or  turning  gray,  and  it  is  cleanly  and  will  not  soil  the  clothing. 


Castor  Oil, 1 \ pounds. 

Strong  Alcohol, 2 ^ pints. 

Pulverized  Spanish  Flies,  - jounce. 

Oil  of  Bergamot,  ------  2^  ounces. 

Oil  of  Bose,  - 20  drops. 


Mix,  and  let  them  stand  for  a few  days,  and  filter. 


130 


OUR  FAMILY  PHYSICIAN. 


An  excellent  hair  tonic  is  the  following  : 

Gum  Benzoin,  .... 

Castor  Oil,  - 

Alcohol,  - 

Shake  these  well  together,  then  add, 

Oil  of  Lavender,  .... 

Oil  of  Bergamot,  ■ 

Oil  of  Cloves,  - 
Oil  of  Rosemary, 

Oil  of  Lemon,  - 

Oil  Neroli 

Tincture  of  Cantharides, 

The  following  is  the  celebrated  “ General  Twigg’s  recipe,”  which 
it  is  said  will  turn  grey  hair  to  its  original  color,  and  cause  it  to 
grow  on  bald  heads  : 

Lac  Sulphur,  ----- 
Sugar  of  Lead  ----- 
Eose  Water,  - - - 

Mix. 

The  following  is  an  excellent  recipe: 

Bay  Rum,  ----- 
Tincture  of  Cantharides, 

Hartshorn,  ----- 
Olive  Oil,  - 

Shake  well  before  using. 

The  following  is  an  excellent  preparation  to  promote  the  growth 
of  the  hair : 

Palma  Christi  Oil,  - - - - 3 ounces. 

Oil  of  Lavender, 1 drachm. 

Apply  often  when  the  hair  is  weak  and  deficient. 


2 drachms. 
4 ounces. 

1 quart. 

1 drachm. 

1 “ 

30  drops. 

30  “ 

30  “ 

30  “ 

^ ounce. 


2 drachms. 
1 drachm. 
8 ounces. 


4 ounces. 

1 ounce. 
1 “ 

2 ounces. 


GENERAL  DISEASES. 


131 


CHAPTER  V. 
Affections  of  the  Eyes. 


Falling  of  the  Eyelid,  (Pabalybis) — Ptosib. 


THIS  may  be  caused  by  exposure  to  cold  air,  intoxication,  vio- 
lent mental  excitement,  blows  on  tbe  bead,  exposure  to  the 
direct  rays  of  the  sun,  and  tumors  within  the  brain.  In  this  affec- 
tion the  muscles  of  the  eye  are  generally  paralyzed  also,  so  that 
the  eye  cannot  be  moved,  but  stands  perfectly  still,  or  else  ia 
turned  out  towards  the  temple. 

TREATMENT. ALLOPATHIC. 

Mercury  is  sometimes  used  until  the  mouth  is  affected.  Warm 
poultices  applied  to  the  eyes  will  be  found  beneficial.  Rubbing 
the  forehead,  temple  and  eyelid  with  Aromatic  Spirits  of  Ajnmo- 
nia  has  a good  effect  in  some  cases. 

HOMEOPATHIC. 

The  remedies  adapted  to  this  complaint  are,  Spigelia,  Belladonna, 
Sepia,  Opium,  Cocculus,  Nitric  Acid.  This  complaint  should  only 
be  treated  by  a competent  physician. 

Inflammation  of  the  Eye-Lid,  and  Inflammation  of  the 
Margins  of  the  Lids. 

The  eyelids  may  become  inflamed  from  taking  cold,  and  other 
causes,  and  frequently  the  edge  of  the  eyelid  will  be  inflamed 
without  affecting  the  whole  lid. 

treatment  — homeopathic. 

Aconite . — Where  the  inflammation  and  pain  are  great  nd  the 
lids  are  swollen,  hard,  and  red,  with  heat,  together  with  a se  ^tion 
of  burning;  there  being  also  a copious  secretion  of  mucus  . 'he 
eye  and  nose. 

Belladonna . — If  Aconite  is  not  sufficient,  give  this  when 


132 


OUR  FAMILY  PHYSICIAN. 


there  is  a feeling  of  burning  and  itching  in  the  lid,  with  swollen 
eyelids  which  stick  together,  and  bleed  freely  when  opened,  and 
also  when  the  edges  are  turned  to  the  outside  and  feel  as  if  par- 
alyzed. 

Hepar  Sulphur.  — If  there  is  a sensation  of  laceration  or  bruised 
feeling  in  the  lids  on  touching  them,  with  sensitiveness  to  the 
light ; this  may  be  given  in  alternation  with  Mercury,  Aconite,  or 
Belladonna. 

Euphrasia.  — In  those  cases  where  the  eyelids  are  red  and  swoll- 
en and  the  margins  are  lacerated,  with  itching  in  the  daytime, 
sticking  together  in  the  morning,  headache,  heat  in  the  head,  dread 
of  light,  profuse  secretion  of  mucus  and  tears  ; this  may  be  given 
in  alternation  with  Nux  Vomica,  if  the  eyeball  is  very  red,  and 
there  is  burning  with  itching. 

Mercurius.  — If  the  swelling  is  hard  with  cutting  pains,  and  diffi- 
culty of  opening  the  lids,  ulcers  and  scabs  on  the  edges,  the 
difficulty  being  worse  in  the  morning  and  in  the  warmth  of  the  bed, 
with  restlessness  and  perspiration,  burning  and  itching  of  the  eyes, 
worse  in  the  open  air.  Hepar  Sulphur  may  be  given  in  alternation 
with  this. 

Arsenicum.  — Inflammation  of  the  inside  of  the  lids,  with  diffi- 
culty of  opening  the  eyes  ; and  violent,  burning  pains. 

Spigelia.  — Inflammation  and  laceration  of  the  lids,  biting  and 
soreness,  difficulty  in  raising  the  lids  as  if  from  stiffness,  boring  in 
the  eyes,  and  pain  in  the  head,  worse  on  motion. 

Hyosciamus  and  Chamomilla  may  be  given  in  alternation  when 
the  eyelids  are  closed  spasmodically  with  a sensation  of  heaviness 
or  pressure. 

Administration  of  Remedies.  — Give  a dose,  four  globules,  of  the 
selected  remedy  every  two,  four  or  six  hours.  W ater  may  be  applied, 
with  beneficial  effect,  either  cold  or  warm,  as  the  patient  prefers. 

ALLOPATHIC. 

For  inflammation  of  the  edges  of  the  eyelids,  the  following 
treatment  may  be  pursued : A teaspoonful  of  milk  with  a bit  of 
fresh  butter  melted  in  it,  may  be  used  as  a wash  for  the  eyes,  in 
the  morning,  when  they  are  glued  together  — smearing  the  lids 
and  cubbing  them  with  the  fingers  gently.  Afterwards  a piece  of 
soft  sponge  wrung  out  in  water  should  be  held  at  the  eyelids  for 
some  minutes,  and  the  eyelids  are  then  opened  without  pain  to  the 
patient.  When  the  lids  are  open,  the  matter  should  be  removed 
with  the  finger-nail.  Warm  applications  of  Poppy  heads,  or  Cham- 
omile flowers,  may  be  used  once  or  twice  a day.  Poultices  of 
bread  and  water  with  a little  fresh  butter,  or  Olive  oil,  inclosed  in 
a small  bag,  and  laid  over  the  eyelids,  will  be  found  very  useful  in 
some  cases. 


GENERAL  DISEASES. 


133 


The  following  may  sometimes  be  used  : 

Sulphate  of  Zinc,  . - - - - 12  grains. 

Laudanum,  - 2 drachms. 

Distilled  Water, 12  ounces. 

Mix.  Bathe  the  eye  several  times  a day  with  this  wash.  After 
the  heat  and  redness  have  been  somewhat  subdued,  and  the  bowe^ 
have  been  opened  with  some  gentle  physic,  as  Castor  Oil,  or  Epsom 
Salts,  the  following  wash  may  be  used  : 

Bose  Water,  ------  4 ounces. 

Nitrate  of  Silver,  - 2 grains. 

Mix,  and  apply  once  or  twice  a day.  A small  piece  of  dilute 
Nitrate  of  Mercury  ointment  (Citrine  ointment)  may  be  rubbed 
along  the  borders  of  the  lid  with  a pencil  brush,  at  night,  or  every 
other  night,  according  to  the  severity  of  the  symptoms  and  the 
effect  produced. 

Pond’s  Extract  may  be  applied,  either  full  strength  or  diluted. 
It  should  be  used  as  often  as  once  in  three  hours,  upon  a soft  rag,  or 
by  means  of  a dropper,  three  or  four,  drops  being  allowed  to  flow  in- 
to each  eye  while  the  head  is  thrown  back. 

Inflammation  of  the  Eyeball  (Ophthalmia). 

This  complaint  is  generally  caused  by  taking  cold,  or  may  be 
caused  by  injuries  to  the  eye. 

Symptoms. — The  eyes  are  very  red,  lids  swollen.  The  patient 
complains  of  a feeling  of  roughness  of  the  eyes,  or  as  if  sand,  hot 
ashes,  or  broken  glass  were  under  the  upper  eyelid.  The  eye  be- 
comes very  sensitive  to  the  light,  and  there  is  a sensation  of  heat, 
fullness  or  stiffness  in  the  globe  and  edges  of  the  eye  or  edges  of 
the  lids,  accompanied  by  shooting  pains  through  the  eye.  These 
symptoms  become  gradually  aggravated,  until  the  pains  in  the  eye- 
balls become  very  acute  and  severe.  The  lids  are  glued  together, 
in  the  morning,  with  matter  that  is  poured  out  in  the  night,  and 
there  is  a distressing  sense  of  weight,  with  heaviness,  on  the  ball  of 
the  eye. 

Causes. — Exposure  to  intense  heat  or  cold,  use  of  the  eyes  by  a 
glaring,  or  dim  light,  injuries,  sudden  changes  of  temperature. 


134 


OUR  FAMILY  PHYSICIAN. 


TREATMENT.  ALLOPATHIC. 

If  there  be  considerable  pain  and  headache,  a purgative  should 
be  given,  as  the  following : 

Pulverized  Gamboge,  - - - -12  grains. 

Pulverized  Senna,  12  “ 

Elaterium,  2 u 

Croton  Oil,  - - - - 8 drops. 

Extract  of  Stramonium,  3 grains. 

Mix.  Make  into  twelve  pills  and  give  one  every  hour  until  an 
operation  is  produced.  Apply  a poultice  of  Slippery  Elm  to  the 
eyes,  and  bathe  them  freely  with  a solution  of  poppy  leaves.  A 
feeling  of  sand  in  the  eye  is  generally  relieved,  and  the  inflammation 
abated  by  using  a solution  of  Nitrate  of  Silver,  four  grains  of  the 
Nitrate  to  one  ounce  of  distilled  water,  a large  drop  to  be  applied 
once  or  twice  a day  with  a camel’s  hair  brush.  On  first  applying 
this  there  is  nothing  felt,  but  in  a few  moments,  the  eye  is  affected 
with  a pricking  pain  which  may  be  continued  for  ten  minutes  and 
then  dies  away.  The  eye  afterwards  will  be  easier,  and  so  con- 
tinue for  five  or  six  hours,  when  the  symptoms  will  again  return, 
upon  which  the  Nitrate  of  Silver  should  be  again  applied.  Sul- 
phate of  Zinc,  four  grains  to  an  ounce  of  water,  will  also  some- 
times answer.  When  the  pain  and  headache  have  passed  away,  a 
weak  solution  of  Nitrate  of  Silver  should  be  used,  as  the  follow- 
ing : 

Rose  Water,  .....  ounces. 

Nitrate  of  Silver,  - - - 2 grains. 

Mix. 

ECLECTIC  AND  HERBAL. 

Poultices  of  hops  or  poppy  leaves  may  be  applied  to  the  eyes. 
When  the  pain  is  very  severe,  Stramonium  leaves  may  also  be 
used.  The  following  eye  wash  may  be  used  : 


Sugar  of  Lead, 

i drachm. 

Sulphate  of  Zinc, 

± “ 

Common  Salt, 

i « 

Loaf  Sugar, 

i “ 

Distilled  Yfater, 

^ pint. 

Let  the  mixture  stand  for  two  or  three  days,  and  then  strain 
through  white  flannel.  Wash  the  eyes  two  or  three  times  a day. 

The  following  is  an  excellent  eye  wash  : 

Green  Tea, ^ ounce. 

Yellow  Root,  “ 

Boiling  Water,  * - * • -1  pint. 


GENERAL  DISEASES. 


135 


Steep  together  and  add  one  drachm  of  Sulphate  of  Zinc.  When 
cold,  strain  through  white  flannel. 

When  the  active  inflammatory  symptoms  have  subsided,  the 
following  may  be  used  : 

Tincture  of  Aconite,  1 drachm. 

Decoction  of  Golden  Seal,  - - 1 ounce. 

Mix.  Bathe  the  eye  frequently  with  this  during  the  day. 

Another  remedy  is: 

Golden  Seal,  Witch  Hazel  leaves,  each,  in  powder,  a drachm. 
Boiling  water  a gill.  Let  the  powders  remain  in  the  boiling  water 
for  ten  or  fifteen  minutes  and  then  strain. 

HOMEOPATHIC. 

Cold  water  should  be  frequently  applied  to  the  eye,  by  means 
of  a few  folds  of  soft  linen  cloth,  laid  loosely  over  the  eye  and 
surrounding  parts.  A weak  solution  of  Sulphate  of  Zinc,  or 
Nitrate  of  Silver,  may  be  used,  in  the  proportion  of  one  grain  to  an 
ounce  of  distilled  rose  water. 

Aconite.  — Lids  red  and  swollen,  the  ball  very  red,  pupils  dilated, 
watering  of  the  eyes,  cheeks  flushed,  dread  of  light,  pressing, 
stinging  and  burning  pains  in  the  eyes ; the  eyeball  feels  bruised 
and  pressed  into  the  orbit;  the  eyes  are  hot  and  filled  with  scalding 
tears,  or  very  dry  with  stinging  and  smarting  of  the  lids,  pressure 
or  sharp  beating  or  stinging  pains  in  the  head  and  temples,  great 
mental  excitement. 

Belladonna . — Redness,  swelling  and  protrusion  of  the  ball  of  the 
eye,  swelling  of  the  lids,  discharge  of  hot  scalding  tears,  or  dry- 
ness of  the  eyes,  flushed  cheeks,  throbbing  of  the  arteries  of  the 
neck  and  temples  ; skin  hot  and  dry,  sharp  pains  in  the  sockets, 
extending  into  the  brain,  burning  and  smarting  in  the  eyes,  heavi- 
ness, pressure  and  throbbing  of  the  ball  and  eyelids,  tearing  pain 
in  the  eyes  from  within,  outward,  dizziness  and  obstruction  of  vis- 
ion, the  pains  worse  on  moving  the  eyes,  with  sparks  and  black 
spots  before  them. 

Euphrasia . — When  the  pain  is  in  and  above  the  eyes,  and  in  the 
head,  and  is  also  of  a very  pressing  character.  It  may  be  used  for 
the  same  symptoms  as  Belladonna,  when  Belladonna  does  not 
relieve. 

Nux  Vomica.  — When  the  eyes  are  bloodshot,  with  a sensation 
as  of  sand  in  the  eyes,  tongue  coated,  redness  of  the  lids  of  the 
eyes,  with  a stiffness  and  itching,  and  a discharge  of  burning  tears, 
and  headache  every  night. 

Pulsatilla.  — May  be  given  after  Aconite  has  subdued  the  worst 
inflammation,  but  there  still  remains  severe,  tearing,  stitch-like 
pains,  with  great  sensitiveness  to  light,  the  trouble  being  worse  in 


136 


OUR  FAMILY  PHYSICIAN. 


the  afternoon  and  morning,  and  the  patient  being  fretful,  and 
inclined  to  weep. 

Ignatia.  — Pain  is  more  like  pressure  in  the  eyes,  which  are  not 
much  inflamed,  but  are  troubled  with  a copious  flow  of  tears, 
accompanied  with  running  at  the  nose. 

Spigelia.- — Aching,  itching,  and  tearing  pains,  which  penetrate 
into  the  head,  with  a sensation  as  if  the  eyeballs  were  too  large. 

Arsenicum.  — Eyeball  very  red,  and  lids  much  swollen,  tears  hot 
and  scalding,  lids  dry  and  red,  sensation  as  if  sand  had  become 
lodged  in  the  eye,  tearing,  burning  or  stinging  of  the  ball  and  lids, 
aggravated  by  exposure  to  the  light,  or  on  motion ; weakness, 
weariness  and  tremor  of  the  lids,  great  intolerance  of  light. 

Mercurius. — Inflammation  of  the  eyes,  with  burning,  smarting 
heat  and  pressure,  worse  in  the  open  air,  sensation  as  of  sand  in 
the  upper  eyelid,  fear  of  light,  darting  pain  in  the  eyeballs,  redness 
and  swelling  of  the  lids,  pain  worse  on  moving  or  touching  the 
eyes. 

Administration  of  Remedies. — Give  a dose  (six  globules)  of  the 
selected  remedy  every  two,  four  or  six  hours,  according  to  the 
severity  of  the  symptoms,  or  dissolve  twelve  globules  in  twelve 
teaspoonsful  of  water,  and  give  a teaspoonful  at  a dose. 

Chronic  Inflammation  of  the  Eyes. 

This  may  be  caused  by  the  active  symptoms  of  acute  inflamma- 
tion having  subsided,  or  by  the  system  becoming  reduced  and 
weakened. 

Symptoms.  — The  eyes  look  partly  red  and  partly  white,  and  are 
sensitive  to  light,  dust  and  smoke,  the  edges  of  the  lids  are  red  or 
purple,  and  the  eyes  are  glued  together  in  the  morning,  and  the 
patient  is  unable  to  use  the  eyes  long  at  a time.  The  lids  itch  and 
tingle  mostly  in  the  morning  on  rising,  and  there  is  a flow  of  tears 
caused  by  cold  air,  light,  wind,  smoke,  dust  and  vapors. 

Causes. — Acute  inflammation  of  the  eyes,  external  injury,  ex- 
posures to  the  cold,  excessive  use  of  the  eyes,  by  strong  or  dim 
light. 

ECLECTIC  AND  HERBAL. 

It  is  well  to  give  a cathartic  once  or  twice  a week,  and  apply 
the  following  ointment  to  the  edges  and  inner  surface  of  the  eye- 
lids: 

Unsalted  Butter,  - - - - -2  ounces. 

White  Wax, 2 drachms. 


GENERAL  DISEASES. 


137 


Melt  these  together  in  a saucer,  and  when  cold,  stir  in  half  a 
drachm,  each,  of  Bed  Precipitate  and  finely  pulverized  Sulphate 
of  Zinc.  Mix  well  and  apply  twice  a day. 

The  following  is  an  excellent  remedy:  Dissolve  an  ounce  of 
Gum  Camphor  and  two  ounces  of  pure  Turkey  oil ; a few  drops  of 
alcohol  must  be  first  poured  on  the  camphor  to  make  it  pulverize ; 
when  pulverized,  add  the  oil  and  rub  them  in  a mortar,  till  dis- 
solved. Anoint  the  eyes  with  this  preparation  two  or  three  times 
a day. 


HOMEOPATHIC . 

As  a local  application,  the  Sulphate  of  Zinc  or  Nitrate  of  Silver 
may  be  used  in  weak  solutions  of  one  or  two  grains,  to  an  ounce  of 
water.  The  wine  of  Opium  may  be  used  in  some  cases  ; a single 
drop  being  introduced  into  the  eyes,  once  or  twice  in  twenty-four 
hours.  The  internal  remedies  are  Arsenicum,  Belladonna,  Sulphur, 
Silicea,  Nux  Yomica,  Graphites,  and  Phosphorus. 

ALLOPATHIC. 

The  margins  of  the  eyelids  should  be  anointed  night  and  morn- 
ing with  diluted  Citrine  ointment,  which  is  prepared  as  follows : 

Ointment  of  Nitrate  of  Mercury,  - - 1 part. 

“ “ Spermaceti  or 

Prepared  Lard,  - - 2 parts. 

Mix. 

Solution  of  Acetate  of  Lead,  or  Sulphate  of  Zinc,  or  Sulphate 
of  Copper,  may  be  used,  in  proportion  of  two  grains  to  an  ounce. 


Chronic  Inflammation  from  Scrofula. 

This  disease  is  chiefly  confined  to  children  under  eight  years  of 
age,  but  is  met  with  sometimes  in  adults.  The  most  marked  symp- 
tom is  great  intolerance  of  light,  the  lids  being  closed  so  that  it  is 
almost  impossible  to  see  the  eye,  the  head  being  constantly  turned 
away  from  the  light.  There  is  not  much  redness  of  the  ball,  but 
there  are  little  spots  of  lymph  or  ulcers  on  the  surface.  If  the 
disease  is  not  arrested,  the  eyes  are  gradually  destroyed  from  these 
ulcers.  The  system  is  feeble,  languid,  and  the  digestive  organs 
are  deranged.  The  treatment  of  this  disease  should  be  under- 
taken only  by  a competent  physician. 


138 


OUR  FAMILY  PHYSICIAN. 


TREATMENT.  HOMEOPATHIC. 

In  the  beginning  of  the  attack,  give  Aconite  and  Belladonna,  as 
stated  under  inflammation  of  the  eye-lids  and  eye-ball 

Dulcamara . — "When  the  inflammation  is  caused  by  a cold,  when 
the  eyes  are  made  worse  by  reading  and  there  is  dimness  of  sight, 
together  with  a sensation  as  if  sparks  of  fire  were  flying  out  of  the 
eyes.  For  ulcers  or  white  specks  on  the  eye  balls,  which  remain 
after  the  inflammation  is  subdued,  give  Euphrasia,  Hepar  Sulphur 
and  Silicea,  each  remedy,  one  week.  A dose  (six  globules)  of  the 
remedy  selected,  every  evening.  "When  Silicea  is  given,  a wash 
of  twelve  globules  of  Silicea  in  half  a teacupful  of  water  may  be 
used.  For  specks  before  the  eyes,  give  Euphrasia,  Hepar  Sul- 
phur, Silicea,  Calcarea  Carbonicum  and  Nitric  Acid,  in  the  same 
manner. 


ALLOPATHIC. 

Cooper  recommends  the  application  of  a blister  to  the  back  of 
the  neck  or  behind  the  ears.  This  will  rapidly  subdue  the  inflam- 
mation. The  eyes  may  be  steamed  with  a solution  of  one  drachm 
of  opium  to  a pint  of  hot  water,  or  may  be  bathed  with  the  liquid. 
A decoction  of  Poppies  and  Chamomile  flowers  may  also  be  used. 
After  the  inflammation  is  subdued,  the  eyes  may  be  bathed  with  a 
solution  of  Alum,  two  grains  to  an  ounce  of  water  ; or  a solution 
of  Nitrate  of  Silver,  two  grains  to  an  ounce  of  water,  a few  drops 
being  put  in  the  eye,  once  or  twice  a day. 

The  bowels  should  be  kept  open  with  a mild  purgative,  as  Mer- 
cury with  chalk,  or  a little  Rhubarb  or  Magnesia.  Preparations 
of  Iron,  Sarsaparilla,  and  Cod  Liver  Oil,  are  useful  to  strengthen 
the  system. 

ECLECTIC  AND  HERBAL. 


The  following  syrup  may  be  used  to  remove  the  scrofulous  taint 
from  the  system  : 

Yellow  Parilla  root,  ....  pounds. 

Burdock,  and  Yellowdock,  each,  - • 1 pound. 


Bark  of  the  Root  of 

Bitter  Sweet,  and  Sassafras,  each,  - -J-  pound. 

May  apple  and  Bloodroot,  each,  - - 2 ounces. 

Bruise,  and  boil  the  whole  in  five  or  six  gallons  of  water,  down 
to  one  gallon  ; add,  while  hot,  six  pounds  of  sugar  ; strain  and 
bottle  for  use.  To  each  pint, 'add  one-half  drachm  of  Hydriodate 
of  Potassa,  dissolved  in  one  or  two  ounces  of  water.  Take  a wine- 
glassful  three  times  a day. 


GENERAL  DISEASES. 


139 


Sty  on  the  Eyelid. 

This  is  & small  boil  which  forms  on  the  margin  of  the  eyelid,  or 
on  the  lids.  The  matter  forms  in  two  or  three  days  and  the  ab- 
cess  bursts,  A poultice  of  bread  and  milk,  or  linseed  meal,  wrapped 
in  a thin  linen  cloth,  should  be  applied  to  the  eye,  until  the  matter 
forms.  After  it  has  discharged,  apply  on  going  to  bed,  for  two  or 
three  nights,  a little  diluted  Nitrate  of  Mercury  ointment.  Salt 
and  water  will  sometimes  prevent  the  return  of  these  pests.  A 
popular  remedy,  said  to  prevent  the  formation  of  stys,  is  to  rub  a 
gold  ring  or  a brass  key  on  the  incipient  sty,  at  night.  I give 
this  for  what  it  is  worth. 

HOMEOPATHIC. 

Pulsatilla.  — Is  the  most  important  remedy.  Give  a dose  twice 
a day.  If  this  does  not  relieve,  give  Mercury,  in  alternation  with 
Hepar  Sulphur  or  Staphysagria.  A dose  two  or  three  times  a 
week,  of  one  of  these  remedies  will  sometimes  prevent  their  ap- 
pearance. Calcarea  Carbonica  may  be  given  in  the  same  manner. 

Weeping,  or  Watery  Eye. 

This  complaint  is  caused  by  the  obstruction  of  the  lachrymal 
duct,  or  the  gland  in  which  the  tears  are  created.  The  patient’s 
attention  is  first  attracted  by  weakness  of  the  eye,  and  tears  gath- 
ering in  the  inner  angle  of  the  eye,  the  tears  being  much  increased 
by  the  cold  air.  This  may  be  continued  for  months  or  years,  and 
is  a source  of  great  annoyance.  Abcesses  may  be  formed  on  the 
side  of  the  nose,  and  the  bones  of  the  nose  may  become  affected. 

TREATMENT. ALLOPATHIC. 

Fomentations  of  Chamomile  tea  or  Poppy  leaves,  sometimes 
relieve.  Bathing  the  parts  with  brandy  and  water,  or  pure  brandy, 
is  beneficial.  The  diluted  Nitrate  of  Mercury  ointment  may  be 
used  in  some  cases,  by  inserting  a piece  the  size  of  a hemp  seed  in 
the  inside  of  the  lid  and  rubbing  it  along  the  edges. 

HOMEOPATHIC. 

If  the  watery  eyes  arise  from  a general  weakness  of  the  organ, 
Euphrasia  and  Spigelia  may  be  given  in  alternation,  every  two  or 
three  days,  a dose  of  six  globules.  The  other  remedies  are  Bella- 


140 


OUR  FAMILY  PHYSICIAN. 


donna,  Pulsatilla,  Calcarea  Carbonica,  Silicea  and  Sulphur,  which 
may  be  given  in  the  order  named,  a dose  six  globules  every  day. 
Give  each  remedy,  from  four  to  six  weeks.  The  only  permanent 
relief,  however,  is  an  operation,  which  should  be  performed  by  a 
competent  surgeon. 

Cataract. 

Cataract  is  an  opacity,  or  cloudiness  of  the  crystalline  lens,  or 
its  capsule,  which  prevents  the  passage  of  the  rays  of  light.  It  is 
more  common  in  elderly  people,  and  is  sometimes  inherited. 

Symptoms.  — The  first  intimations  of  the  approach  of  this  disease 
are  generally  these  : objects  appear  indistinct,  and  a mist  is  con- 
stantly before  the  eye.  A strong  light  is  required  to  read  or  write 
by.  A small  speck  now  makes  its  appearance,  first  behind  the  cen- 
tre of  the  pupil,  and  gradually  extends  until  it  entirely  obstructs 
the  passage  to  the  eye  of  rays  of  light. 

Causes . — Frequent  and  long  continued  use  of  the  eyes  in  read- 
ing fine  print,  writing,  or  looking  at  small  objects  with  a strong 
light,  congestion  of  blood  to  the  eyes,  from  exercise  in  the  hot  sun, 
at  furnaces,  and  other  places  where  hot  bright  fires  are  kept,  expo- 
sure of  the  eyes  to  irritating  fumes  and  vapors,  mechanical  injuries. 
This  complaint  can  only  be  relieved  by  an  operation.  Homeopathy, 
however,  has  remedies,  which  are  said  to  relieve  some  cases,  and 
they  are  as  follows  : Silicea,  Graphites,  Hydriodate  of  Mercury, 
Calcarea  Carbonicum,  Conium,  and  Digitalis  — a dose  once  or  twice 
in  twenty-four  hours. 

Weakness  of  Sight,  (Amblyopia.)  ■ — Blindness,  (Amaurosis.) 

Weakness  of  sight  is  a defect  of  the  optic  nerve  which  is  weak- 
ened or  paralyzed  to  a greater  or  less  degree.  If  the  nerve  is  not 
much  paralyzed,  it  is  Amblyopia  or  weakness  of  sight,  and  if  it  is 
entirely  paralyzed,  it  is  blindness  or  Amaurosis.  In  simple  weak- 
ness of  sight,  the  vision  is  indistinct,  and  this  indistinctness  grad- 
ually increases  until  Amaurosis  is  completely  established.  In 
some  cases  the  loss  of  sight  is  confined  to  only  a small  part  of  the 
eye;  objects  appear  crooked  or  distorted,  and  changed  in  gi*e, 


GENERAL  DISEASES. 


141 


flashes  of  light  and  specks  appear  before  the  eyes.  As  the  disease 
progresses  towards  Amaurosis,  the  vision  is  obscured  by  clouds  and 
there  may  be  some  pain.  In  some  cases  there  is  a desire  for  a 
stronger  light,  and  in  others  there  is  a dryness  of  the  eyes  and 
nostrils. 

Amaurosis  is  distinguished  from  Cataract,  by  the  dimness  or  loss 
of  sight  being  sudden,  presenting  an  appearance  of  motes  or  specks 
covering  parts  of  the  objects.  In  Cataract,  the  difficulty  of  sight 
increases  very  slowly,  and  it  is  compared  to  a mist  before  the  eyes. 
In  Cataract  will  be  seen  a white,  curtain-like  film  behind  the 
pupil,  which  does  not  appear  in  Amaurosis. 

The  signs  of  the  approach  of  Amaurosis  are,  pain  in  the  fore- 
head and  temples,  which  diminishes  as  the  Amaurosis  increases, 
a-nd  ceases  when  the  blindness  is  complete  ; dimness  and  weakness, 
and  cloudiness  of  vision,  sparks  and  motes  floating  before  the  eyes, 
annoying  the  patient.  In  reading  or  writing,  a stronger  light  than 
usual  is  demanded. 

Causes.  — The  causes  may  be  hereditary,  or  caused  by  indigestion, 
abuse  of  stimulants,  suppressed  discharges,  gout,  rheumatism,  or 
scrofula,  typhoid  fevers,  the  use  of  snuff,  too  long  continued  nurs- 
ing, excessive  grief,  over  exertion  of  the  sight,  working  by  a very 
bright  light,  and  mechanical  injuries,  epileptic  and  other  convul- 
sions, apoplexy,  irritation  of  the  bowels,  from  worms  or  other 
causes  ; fright,  pressure  upon  the  vessels  of  the  neck,  preventing 
a return  of  blood  from  the  brain,  the  operation  of  poisonous 
substances,  such  as  Belladonna,  Stramonium,  Opium,  Lead,  and 
Quinine. 

GENERAL  TREATMENT. 

Attention  should  be  paid  to  the  general  state  of  the  health.  If 
the  Amaurosis  is  caused  by  any  difficulty  with  the  digestive  organs 
it  should  be  rectified.  The  patient  should  avoid  using  the  eyes 
especially  in  a strong  light,  keeping  them  shaded  as  much  as  possi- 
ble at  all  times.  All  reading,  writing  and  fine  needlework  must 
be  avoided.  Moderate  exercise  in  the  open  air  should  be  taken 
daily,  and  the  feet  bathed  in  warm  water  every  night,  and  the 


142 


OUR  FAMILY  PHYSICIAN. 


head  dipped  in  warm  or  cold  water  every  morning.  The  diet 
should  be  nutritious  and  easily  digested.  - 

ECLECTIC  AND  HERBAL. 

Dr.  King  recommends  the  following  pill  to  be  taken : 

Iodine,  - - - - - • 10  grains. 

Sulphate  of  Morphine,  - - - 2-J-  “ 

Strychnia, 1 “ 

Alcoholic  Extract  of  Cohosh,  a sufficient  quantity  to  form  the 
pill  mass. 

Mix,  and  divide  into  twenty  pills.  Dose,  one  pill  two  or  three 
times  a day.  If  the  patient  is  affected  by  the  Strychnia,  the 
quantity  must  be  diminished.  He  also  recommends  a Compound 
Tar  Plaster,  applied  to  the  back  of  the  neck,  extending  from  one 
side  of  the  spinal  column  to  the  other,  and  down  the  back  to 
about  the  middle  of  the  back,  and  the  keeping  up  of  a discharge 
as  long  as  the  patient  can  endure  it. 

HOMEOPATHIC. 

For  simple  weakness  of  the  sight  take  either  of  the  following  : 
Pulsatilla,  Sulphur,  Belladonna,  Calcarea,  Phosphorus.  These 
remedies  should  be  administered  each  one  for  four  or  six  weeks, 
every  three  days  one  dose  in  the  evening,  until  better,  or  until 
the  next  remedy  is  to  be  given. 

For  Complete  Blindness. 

Belladonna.  — Pupil  dilated  and  immovable,  squinting,  partial  or 
total  loss  of  vision,  sense  of  weight  and  pressure  in  the  eyeball, 
throbbing  and  stupefying  headache,  objects  appear  double  or  wrong 
side  up,  or  blurred  or  surrounded  by  a fog  or  mist,  bright  flashes 
before  the  eyes.  This  remedy  is  to  be  given  when  the  malady  is 
caused  by  inflammation  and  congestion  of  the  optic  nerve,  or  some 
part  of  the  brain.  It  may  be  given  in  alternation  (turn  about)  with 
Hyosciamus. 

Nux  Vomica.  — Pupils  contracted,  spasmodic  motion  of  the  eye- 
ball, stupefying  headache,  worse  in  the  light  of  day,  dizziness. 
When  the  blindness  is  sudden,  without  any  apparent  cause,  give 
Aconite  first,  then  Mercury,  a dose  every  two  or  three  hours. 
These  may  be  given  alternately  (turn  about.) 

China.  — Pupil  dilated  and  sensitive,  dread  of  light,  white  cloud 
in  the  eye,  specks  floating  before  the  eye,  general  debility. 

Phosphorus . — Sudden  attacks  of  blindness  during  the  day,  black 
spots  before  the  eyes,  dimness  of  vision,  the  flame  of  the  candle 
seems  to  be  surrounded  with  a green  mist,  distant  objects  appear  to 
be  enveloped  in  smoke  or  mist. 


GENERAL  DISEASES. 


143 


Stramonium . — Eyes  staring  and  glistening,  sense  of  weight  in 
the  eyes,  objects  appear  small,  or  double,  sparks  and  specks  float 
before  the  eyes,  dizziness  and  headache  ; especially  suitable  where 
the  blindness  is  caused  by  hysterics,  epilepsy  and  catalepsy. 

Administration  of  Remedies.  — Give  a dose  of  the  selected  remedy 
morning  and  night,  unless  other  directions  are  given  with  the 
remedies. 


ALLOPATHIC. 

If  there  are  symptoms  of  fullness  of  blood  in  the  head,  and  the 
blindness  is  increased  by  stooping,  etc.,  ten  ounces  of  blood  should 
be  taken  from  the  arm,  and  six  leeches  be  applied  to  the  temple, 
and  the  following  should  be  taken : 

Compound  Senna  Mixture,  ounces. 

Tincture  Colchicum,  ....  20  minims. 


This  should  be  preceded  by  five  or  six  grains  of  Calomel.  Re- 
peat the  Senna  mixture  as  often  as  necessary  to  produce  a complete 
operation  of  the  bowels.  This  mixture  should  be  given  every 
second  or  third  day,  so  that  the  bowels  may  be  kept  open. 

If  the  blindness  is  caused  by  bleedings,  or  by  long  continued 
discharges  of  any  kind,  tonics  should  be  Used,  and  the  bowels 
regulated  by  the  following : 


~ Infusion  of  Gentian,  5^  ounces. 

Sesquicarbonate  of  Ammonia,  - - grain. 

Compound  Tincture  Cardamon,  - • \ ounce. 

Mix.  Two  tablespoonsful  for  a dose,  two  or  three  times  a day. 

Or  this, 

Decoction  of  Bark,  ....  7 ounces. 

Compound  Tincture  of  Bark,  ...  6 drachms. 

Syrup  of  Orange  peel,  - - - 2 “ 

Diluted  Sulphuric  Acid,  1 “ 

Mix.  One  tablespoonful  three  times  a day.  Bayberry  root  dried 
and  reduced  to  powder  and  used  as  a snuff  is  sometimes  useful. 
Cayenne,  one  grain  to  an  ounce  of  water,  is  sometimes  good.  A 
little  should  be  dropped  into  the  eye  every  day,  to  stimulate  the 
nerve.  Electro-Galvanism  is  a very  important  remedy  in  this 
disease. 


The  following  is  a good  tonic  to  use  for  some  cases : 

Citrate  of  Iron  and  Strychnine,  - - 1 drachm. 

Syrup  of  Orange-peel,  ....  2 ounces. 

Soft  Water,  .....  ^ pint. 

Mix.  Dose,  one  teaspoonful  three  times  a day. 


144 


OUR  FAMILY  PHYSICIAN. 


Shobt-Sightedness,  (Myopia.) 

Short-sightedness  depends  upon  a too  great  convexity  of  the 
cornea,  or  crystalline  lens,  or  too  great  density  of  the  vitreous 
humor,  which  causes  the  object  inspected  to  be  formed  a little  in 
front  of  the  optic  nerve.  This  affection  may  be  inherited,  or  it 
may  be  brought  on  by  close  study,  or  by  the  long  application  of 
the  eyes  to  small  objects. 

GENEBAL  TBEATMENT. 

If  the  complaint  is  induced  by  too  much  exercise  of  the  eyes 
upon  small  objects,  or  reading,  writing,  sewing,  painting,  and  the 
like,  the  cure  will  be  very  much  assisted  by  abstaining  from  all 
these  employments,  and  using  the  eyes  only  upon  large  objects  at 
a long  distance.  It  is  a good  plan  in  reading  a book  to  gradually 
remove  it  from  the  eyes,  until  it  can  be  read  at  the  ordinary  distance. 
Frequent  exercise  out  of  doors,  walking  and  riding,  and  traveling 
through  new  and  interesting  scenes  are  beneficial. 

If  the  disease  cannot  be  remedied,  then  the  patient  should  re- 
sort to  concave  glasses. 

Fab- Sightedness,  (Presbyopia.) 

This  is  caused  by  the  humors  of  the  eye  not  being  convex  enough ; 
the  image  of  the  object  looked  at  is  formed  beyond  the  optic  nerve. 
This  complaint  is  found  more  frequently  in  persons  advanced  in 
years,  and  is  one  of  the  early  signs  of  approaching  old  age.  This 
defect  is  to  be  remedied  by  glasses  which  are  convex. 


Squinting,  ( Strabismus .) 

This  affection  may  be  either  acute  or  chronic.  In  this  disease, 
stx though  the  patient  may  intend  to  look  at  the  same  object  with 
both  eyes,  one  of  them  involuntarily  turns  away  from  the  natural 
direction.  The  eye  is  more  frequently  turned  inwards  than  out- 
wards. 

Causes.  — Weak-sightedness,  imperfect  vision  from  short-sighted- 
q*88,  etc.  It  may  be  caused  in  young  children  from  the  position  in 


GENERAL  DISEASES. 


14  b 

the  cradle,  having  the  light  always  on  the  same  side.  This  maj' 
be  obviated  by  altering  the  position  of  the  cradle  so  that  the  light 
will  be  in  front. 

TREATMENT.  — HOMEOPATHIC. 

Belladonna. — If  the  squinting  is  upwards  or  outwards,  the  left 
eye  drawn  upwards,  and  the  right  eye  drawn  upwards  and  outwards. 
Far-sightedness,  pupil  contracted,  then  dilated  and  finally  becoming 
insensible  to  light. 

Alumina.  — Squinting  of  both  eyes,  convulsions  of  the  eyelids, 
paralysis  of  the  upper  eyelid,  frequent  stys,  objects  appear  yellow, 
squinting  inwards  and  upwards,  eyes  look  congested  and  sparkling, 
bright,  or  dull  and  dim. 

Digitalis.  — Both  eyes  inclined  inward,  turn  to  the  left  side,  they 
feel  painful  when  turning  them  to  the  right  side,  and  objects 
appear  double. 

Camphor . — Spasms  of  the  muscles,  ball  of  the  eye  turned 
upward. 

Other  remedies  are  Secale,  Spigelia,  Phosphorus  and  Sulphur. 

ALLOPATHIC. 

The  bowels  should  be  kept  in  good  condition  by  giving  occa- 
sional doses  of  Castor  oil  or  salts,  or  salts  and  senna,  and  the  diet 
should  be  carefully  regulated.  The  defect  may  be  overcome  by 
requiring  the  patient  to  stand  before  a glass  and  while  closing  the 
sound  eye,  to  look  steadily  at  the  object  with  the  squinting  eye. 
This  should  be  done  until  the  eye  feels  tired,  when  the  sound  eye 
may  be  opened  ; by  doing  this  several  times  a day,  the  squinting 
eye  may  be  taught  to  remain  in  a proper  position. 

The  following  tonics  are  recommended : 

Strychnia,  ......  2 grains. 

Diluted  Phosphoric  Acid,  - - - - 1 ounce. 

Peppermint  Water,  3 pints. 

Dissolve  the  Strychnia  in  the  Acid,  and  then  add  the  Pepper- 
mint Water.  Dose,  a tablespoonful  three  times  a day. 

Or  this  : 

Citrate  of  Iron  and  Strychnine,  - - i drachm. 

Syrup  of  Orange  peel,  - - - - 2 ounces. 

Soft  Water,  ^ pint. 

Mix.  Dose,  one  teaspoonful  three  times  a day. 

In  case  medicine  has  no  effect  on  the  disease,  an  operation  must 
be  resorted  to,  in  which  the  muscles  of  the  eye  are  divided. 

10 


146 


OUR  FAMILY  PHYSICIAN. 


Foreign  Substances  in  the  Eye. 

For  dust  that  enters  into  the  eye,  washing  with  cold  water  will 
generally  be  sufficient,  or  with  cream  or  milk,  especially  if  ashes, 
lime  or  tobacco  enter  the  eye.  To  remove  specks,  cinders  and 
the  like,  the  upper  eyelid  may  be  drawn  over  the  lower  one,  and 
allowed  to  slide  back,  when  the  substance  will  be  brushed  off 
by  the  lower  lid.  For  inflammation  arising  from  injuries  to  the 
eye,  a solution  of  Nitrate  of  Silver,  or  Sulphate  of  Zinc,  in  the  pro- 
portion of  one  or  two  grains  to  the  ounce  of  water,  may  be  used. 

Another  good  way  to  remove  substances  from  the  eye  is  to  take  a 
knitting  needle  and  press  it  over  the  upper  eyelid,  and  by  catching 
hold  of  the  eyelashes  and  turning  the  lid  upward  over  the  needle, 
the  inner  surface  of  the  lid  will  be  exposed,  and  any  substance 
adhering  to  it  may  be  removed. 


GENERAL  DISEASES. 


147 


CHAPTER  VI. 

Affections  of  the  Ear. 


External  Ear  and  the  Surrounding  Parts. 

BY  the  external  ear,  we  mean  the  expanded  portion,  named  the 
Pinna  or  Auricle,  which  stands  out  from  the  head,  and  is 
commonly  called  the  ear  ; and  the  Auditory  canal  or  Meatus.  The 
Pinna  collects  the  sound,  and  the  Auditory  canal  conveys  it  to  the 
membrane  of  the  Tympanum  or  ear  drum.  The  rim  around  the 
outside  of  the  Auricle  is  called  the  Hilex,  and  the  rim  inside  the 
Hilex  is  called  the  Anti-hilex.  The  cavity  around  which  the 
Anti-hilex  curves  is  called  the  Concha,  from  its  being  hollow  like 
a shell.  The  lobe  or  lobule  is  the  lowest  part  of  the  ear,  and  is 
where  the  ear-ring  is  worn  by  the  ladies. 

Inflammation  of  the  Ear,  ( Otitis .) 

Inflammation  of  the  ear  is  a disease  common  to  children,  but 
frequently  occurs  in  adults.  It  is  an  inflammation  of  the  tym- 
panum. It  is  a very  painful  disease  and  affects  the  whole  passage 
of  the  ear,  causing  it  to  swell  up  sometimes  so  as  to  entirely 
close  it. 

Symptoms.  — Violent  burning,  beating,  and  itching  pains  deep  in 
the  ear,  redness  and  throbbing,  and  sometimes  the  inflammation 
affects  the  brain,  and  delirium  or  convulsions  may  take  place.  It 
frequently  follows  Scarlet  Fever  and  other  diseases. 

Causes . — The  causes  are,  exposure  to  cold,  exposing  the  head 
to  a draught  of  air,  or  the  inserting  of  foreign  substances  into  the 
ear,  like  wads  of  paper  and  bean*  ; insects  getting  into  the  ear 
will  also  produce  it. 


148 


OUR  FAMILY  PHYSICIAN. 


TREATMENT. ALLOPATHIC. 

A leech  or  two  applied  to  the  temples  or  behind  the  ears,  or  a 
blister  behind  the  ear  will  be  serviceable.  Poultices  of  Flax  seed, 
hops,  or  bread  and  milk,  may  also  be  used.  The  following  may  be 
taken : 

Prepared  Chalk,  36  grains. 

Chamomile, 12  “ 

Ipecac,  ......  4 “ 

Extract  of  Hyosciamus,  - - - 6 “ 

Make  into  twelve  powders  and  take  a powder  at  bed-time.  Dur- 
ing the  day  give  small  doses  of  Magnesia,  or  Salts  and  Senna. 


ECLECTIC  AND  HERBAL. 


When  the  inflammation  is  caused  by  exposure  to  cold,  bathe  the 
feet  in  warm  water,  and  apply  a w’arm  poultice  of  hops  over  the 
ear.  The  pain  may  sometimes  be  relieved  by  dropping  into  the  ear 
two  drops  of  Sweet  oil  of  Almonds  and  one  drop  of  Laudanum. 
This  may  be  used  two  or  three  times  during  the  day.  Sometimes 
the  juice  of  Onion  and  Laudanum,  equal  parts,  may  be  dropped 
into  the  ear.  Or, 


Oil  of  Sassafras,  ....  £ drachm. 

Olive  Oil,  - . - - • 1 “ 

Powdered  Camphor,  - - - - 15  grains. 

Mix,  and  dissolve  the  camphor  in  the  oils.  A few  drops  of  this 
mixture,  warm,  may  be  dropped  into  the  ear.  If  the  pain  is  very 
severe,  apply  a mustard  poultice  behind  the  ear,  and  give  a dose  of 
Castor  oil  or  Salts,  or  some  other  mild  purgative. 


HOMEOPATHIC. 

Washing  the  ear  with  mild,  warm  suds  of  Castile  soap,  may  be 
found  beneficial.  Cotton  batting  wet  with  warm  oil  of  Almonds 
may  be  laid  over  the  ear.  Pulsatilla  is  a most  important  remedy 
in  this  complaint.  It  may  be  given,  especially,  when  the  pain  is 
of  a burning,  throbbing  character,  and  so  severe  as  to  cause  the 
patient  to  be  almost  delirious. 

Belladonna.  — When  the  pain  penetrates  deep  into  the  brain, 
twitching  of  the  hands,  and  the  muscles,  and  the  corners  of  the 
mouth,  great  agitation  and  sensitiveness.  Aconite  may  be  given 
in  alternation  with  Belladonna,  if  the  fever  is  very  high.  Cohen 
may  be  given  sometimes  in  alternation  with  Belladonna,  especially, 
wher  there  is  great  restlessness.  If  an  abscess  is  about  to  form, 


i 


GENERAL  DISEASES. 


liu 


which  is  known  by  the  beating  and  throbbing  pain  in  the  ear,  give 
Mercury,  Lachesis,  or  Hepar  Sulphur ; the  latter  is  the  best  remedy. 

Administration  of  Remedies.  — Of  the  remedy  chosen,  dissolve 
twelve  globules  in  twelve  teaspoonsful  of  water,  and  give  one  tea- 
spoonful  every  half  hour,  hour,  two,  or  three  hours,  according  to 
the  urgency  of  the  symptoms. 


Earache,  (Otalgia.) 

This  complaint  should  not  be  confounded  with  inflammation  of 
the  ear,  as  it  is  quite  a different  thing,  there  being  no  fever  present, 
and  the  pain  is  rather  of  a neuralgic  or  rheumatic  nature.  The 
attacks  come  on  suddenly,  and  are  generally  of  short  duration ; the 
pain  shoots  over  the  head.  The  cause  is,  generally,  taking  cold. 


TREATMENT.  — ECLECTIC  AND  HERBAL. 

The  following  is  a good  remedy : roast  three  or  four  garlics,  and 
while  hot,  mash  them  ; add  a tablespoonful  each,  of  Sweet  oil, 
Honey  and  Laudanum.  Press  out  the  juice,  and  drop  into  the  ear, 
warm,  occasionally.  Steaming  the  ear  and  the  side  of  the  head 
over  bitter  herbs,  or  applying  a poultice  of  hop3,  will  be  found 
excellent  remedies. 


HOMEOPATHIC. 

Palsatilla.  — Is  the  principal  remedy  in  this  complaint ; particu- 
larly if  the  pains  are  darting  and  tearing  as  if  something  would 
press  out  from  the  ears.  The  ear  is  red  and  hot,  swollen  ; where 
there  are  itching  and  tearing  pains  through  the  whole  side  of  the 
face  ; particularly  applicable  to  females  and  persons  who  are  in- 
clined to  be  chilly. 

Chamomilla.  — Particularly  where  the  pains  are  acute,  and  short 
as  if  from  a knife  wound,  especially  after  taking  cold  or  after  per- 
spiration has  been  suddenly  checked  ; tearing,  lancinating  pains, 
which  extend  to  the  lobes  of  the  ear,  the  patient  very  cross  and 
irritable. 

Belladonna.  — When  there  is  congestion  of  blood  to  the  head 
with  stitches  in  and  behind  the  ear,  tearing,  boring,  or  sporting 
pains  extending  to  the  throat. 

Hepar  Sulphur.  — May  be  given  for  the  same  symptoms  as  Bella- 
donna, especially  when  the  latter  does  not  relieve  ; also  when  the 
pain  is  beating,  throbbing  or  roaring. 

Mercurius.  — If  Pulsatilla  or  Chamomilla  do  not  relieve;  also 
where  the  pain  is  tearing,  extending  to  the  cheeks,  pains  are  worse 


150 


G0B  FAMILY  PHYSICIAN. 


in  a warm  room,  and  there  is  a chilly  sensation  in  the  ear.  The 
patient  perspires  a great  deal  without  relief. 

Nux  Vomica . — When  the  pains  are  violent,  of  a tearing,  sting- 
ing nature  and  extending  to  the  forehead  and  temples,  and  down 
to  the  bones  of  the  face. 

Spigelia.  — When  there  is  a painful  aching  as  if  a nail  was  stick- 
ing in  the  ear,  aching  and  tearing  in  the  cheek  bones. 

Rhus . — Suitable  when  the  earache  is  caused  by  taking  cold. 

Arnica.  — When  the  pain  returns  on  the  slightest  occasion  with 
great  sensitiveness,  and  noise,  and  pressing,  and  singing  in,  and 
behind  the  ears  ; more  suitable  for  sensitive,  nervous  persons. 

China.  — Suits  frequently  after  Arnica  or  Pulsatilla,  especially 
if  the  pains  are  tearing  and  are  felt  more  outside  the  ear,  are  made 
worse  by  touching  the  ear,  singing  and  ringing  noises  in  the  ear. 

Administration  of  Remedies.  — Of  the  remedy  selected,  dissolve 
twelve  globules  in  twelve  teaspoonsful  of  water,  and  give  a tea- 
spoonful every  fifteen  minutes,  half  hour,  or  two  hours,  according 
to  the  urgency  of  the  symptoms.  It  sometimes  happens  after  the 
severe  pain  has  been  relieved  by  these  remedies,  that  soreness  and 
grumbling  pains  remain  in  the  ear  : for  this,  Sulphur,  or  Calcarea 
Carbonica,  may  be  given,  one  dose  night  and  morning. 

ALLOPATHIC. 

The  earache  may  be  usually  relieved  by  dropping  into  the  ear, 
three  or  four  drops  of  Olive  or  Almond  oil,  with  one  or  two  drops 
of  Laudanum.  American  leeches,  applied  behind  the  ear,  will 
sometimes  be  found  beneficial.  Glycerine  and  warm  water,  each 
one-half  teaspoonful.  Mix,  and  pour  into  the  ear  from  a teaspoon  ; 
this  will  sometimes  relieve  quickly.  Or,  take  half  a teaspoonful 
of  warm  Olive  oil  with  ten  drops-of  Laudanum  and  pour  into  the 
ear.  The  following  will  sometimes  be  found  excellent  where  a 
tonic  is  required  : 

Citrate  of  Iron, 1 drachm. 

Strychnine,  .....  1 grain. 

Syrup  of  Orange  peel,  ....  2 ounces. 

Soft  water,  .....  £ pint. 

Mix.  Dose  one  teaspoonful  three  times  a day. 

Humming  and  Buzzing  in  the  Ears. 

This  symptom  usually  accompanies  earache,  running  from  the 
ears,  and  other  inflammations,  and  should  be  treated  as  for  those 
diseases.  It  is  sometimes  caused  also,  by  congestion  of  blood  to 
the  head,  from  catching  cold. 


GENEltAL  DISEASES. 


151 


Hardness  of  Hearing,  ( Surditas .) 

Deafness  may  be  caused  by  some  malformation  of  the  ear,  or  oy 
other  causes,  such  as  blows  and  falls  upon  the  head,  inflammation 
of  the  ear,  paralysis  of  the  nerve  of  the  ear.  It  often  follows 
diseases,  such  as  Scarlet  fever,  Measles,  soro  throat ; hardened 
wax  or  other  substances  within  it,  interrupting  the  passage  of  the 
sound,  too  great  dryness,  or  too  much  moisture  of  the  parts  may 
cause  it. 

TREATMENT HOMEOPATHIC. 

If  the  deafness  is  caused  by  an  accumulation  of  wax  in  the  'ear, 
it  should  be  first  carefully  removed,  by  dropping  a small  quantity 
of  warm  milk  or  Sweet  oil  in  the  ear.  For  the  soreness  remaining 
after  the  operation,  give  Arnica.  If  there  is  too  great  dryness  of 
the  ear,  or  after  Fever  and  Ague,  give  Carbo  Yegetabilis,  every 
night  one  dose.  After  continuing  this  for  a week  or  more,  if  there 
is  no  improvement,  give  Graphites,  particularly  when  there  is  a 
thundering  or  humming  in  the  ear,  especially,  in  the  night.  If  no 
better  after  using  Graphites,  give  Lachesis,  Nitric  Acid,  Petroleum, 
one  after  another  in  the  same  manner.  If  the  deafness  is  caused  by 
congestion  of  the  head,  give  Belladonna,  Coffea,  Nux  Vomica, 
Sulphur,  or  Silicea,  a dose  every  morning  and  evening,  commenc- 
ing with  the  first  remedy  and  giving  the  remedy  selected,  three  days 
before  another  one  is  chosen.  If  it  follows  Measles,  give  Pulsa- 
tilla and  Carbo  Vegetabilis.  If  after  Scarlet  fever,  Belladonna  and 
Hepar  Sulphur.  If  after  Small-pox,  Mercury  and  Sulphur,  a dose 
every  other  evening,  alternately.  If  it  is  caused  by  cold  in  the 
head,  give  Chamomilla,  Arsenic,  Lachesis,  Mercury,  Sulphur,  or 
Pulsatilla.  If  it  follows  Intermittent  fever  which  has  been  cured 
by  the  use  of  Quinine,  give  Carbo  Vegetabilis,  Pulsatilla,  Sulphur, 
and  Calcarea  Carbonica  ; each  remedy  one  week,  a dose  each  even- 
ing until  better.  If  caused  by  the  suppression  of  the  discharge 
from  the  ears  and  nose,  give  Pulsatilla,  Mercury,  Belladonna,  or 
Hepar  Sulphur  for  two  or  three  days,  one  remedy  once  a day. 

ALLOPATHIC. 

If  the  deafness  is  caused  by  an  accumulation  of  wax,  a small 
portion  of  Olive  oil  should  be  dropped  into  the  ear,  every  night  to 
soften  it,  and  the  ear  syringed  out  with  warm  water,  every  day, 
until  the  wax  is  washed  out,  and  the  following  should  be  applied 
afterwards  and  continued  for  some  weeks : 

Camphorated  Oil,  - ' ‘ i ounce. 

Soap  Liniment,  ^ drachm. 


152 


OUB  FAMILY  PHYSICIAN. 


Mix,  and  apply  on  a little  wool  or  cotton.  When  it  is  caused  by 
taking  cold,  the  treatment  for  Catarrh  should  be  used.  When 
caused  by  sore  throat,  inhaling  the  vapor  of  hot  water  with  vine- 
gar, will  be  beneficial;  and  small  blisters  should  be  applied  behind 
the  ears.  If  it  is  caused  by  Rheumatism,  or  any  thing  like 
Rb'  umatism,  the  following  ointment  may  be  used : 

Acetous  Extract  of  Colchicum,  - - 1 scruple 

Prepared  Lard,  .....  1 ounce. 

Mix.  A piece  the  size  of  a small  pea  should  be  rubbed  around 
the  ear  every  night.  When  the  ear  is  very  dry,  the  passage  may 
be  rubbed  with  Glycerine  two  or  three  times  a week,  and  a small 
piece  of  fat  of  bacon,  may  be  introduced  into  the  passage,  every 
night  and  taken  out  every  morning.  If  there  is  an  excess  of 
moisture  in  the  ear,  the  passage  may  be  carefully  syringed  with  a 
solution  of  Sulphate  of  Zinc,  in  the  proportion  of  one  grain  to  an 
ounce  of  Rose  water,  and  small  blisters  should  be  applied  behind 
the  ears.  When  the  cause  is  inflammation,  or  the  formation  of 
small  ulcers  in  the  passage,  a warm  poultice  should  be  applied  over 
the  ear,  and  equal  parts  of  Goulard  water  and  Rose  water,  in- 
jected into  the  passage,  will  be  found  useful. 

ECLECTIC  AND  HEKBAL. 

When  the  deafness  is  caused  by  the  accumulation  of  wax,  the 
same  means  may  be  used  for  its  removal,  as  mentioned  under  the 
Allopathic  treatment.  The  following  maybe  used  in  some  cases: 

Burnt  Alum,  - - - - - 10  grains. 

Sweet  Oil  of  Almonds,  - 1 ounce. 

Mix  together.  Put  a few  drops  into  the  ear  every  day.  At  the 
same  time  inject,  two  or  three  times  a day,  a decoction  of  equal 
parts  of  White  Oak  bark,  Beth  root  and  Rose  leaves. 


When  there  is  an  accumulation  of  wax,  a mixture  of, 


Sassafras  Oil, 

15  drops. 

Glycerine, 

l-£  drachms. 

Dlive  Oil, 

\ ounce. 

May  be  dropped  into  the  ear  once  or  twice  a day,  a few  drops  at 

a time. 

When  the  ear  is  very  dry,  and 

there  is  a deficiency  of  moisture 

the  following  may  be  used  : 

Glycerine, 

Oil  of  Turpentine, 

1 drachm. 

- • • i “ 

Linseed  Oil, 

£ ounce. 

general  diseased. 


163 


Running  of  the  Ears,  ( Otorrhcea .) 

This  is  an  exceedingly  troublesome  and  offensive  disorder,  and 
mav  arise  from  various  causes.  It  frequently  remains  after  inflam 
mation  of  the  ear,  and  sometimes  follows  Scarlet  Fever  and  Mea- 
sles. 

Symptoms.  — Fever,  headache  and  intense  pain  in  the  ear,  swell- 
ing of  the  glands  of  the  neck.  In  a short  time  a reddish,  watery 
discharge  takes  place,  which  gradually  grows  thick  and  mattery  ; 
the  fever  disappears  on  the  appearance  of  the  discharge. 

TREATMENT.  ALLOPATHIC. 

When  the  inflammation  is  acute,  the  case  should  be  treated  for 
Inflammation  of  the  ear,  and  the  ear  syringed  with  warm  water,  or 
a decoction  of  Poppies.  The  better  plan,  is  to  pour  the  fluid  into 
the  ear  with  a teaspoon,  as  the  syringe  is  likely  to  irritate  and  cause 
headache.  When  the  discharge  commences,  the  ear  should  be 
washed  out  with  castile  soap  and  water,  and  immediately  after, 
with  a weak  solution  of  Alum,  or  Sulphate  of  Zinc,  one  grain 
to  the  drachm  of  water.  Acetate  of  Lead,  one  or  two  grains  to 
the  ounce  of  water,  will  sometimes  prove  beneficial.  One  part 
of  Glycerine,  and  five  parts  of  Rose  water,  is  also  recommended. 
If  the  discharge  is  very  offensive,  the  ear  should  be  syringed  with 
a mixture  of  two  drachms  of  the  solution  of  Chloride  of  Lime,  and 
half  a pint  of  water,  at  the  same  time  using  a solution  of  Nitrate 
of  Silver,  five  grains  to  the  ounce  of  Water.  Care  should  be 
taken  in  the  using  of  these  applications  not  to  check  the  discharge 
too  suddenly. 

ECLECTIC  AND  HERBAL. 

The  ears  may  be  syringed  out  with  warm  soap  suds,  after  which 
an  infusion  of  Golden  Seal,  to  which  a small  portion  of  Pyrolig- 
neous acid  has  been  added,  should  be  injected.  The  acid  should 
be  only  used  when  the  discharge  is  very  offensive.  A decoction  of 
equal  parts  of  Golden  Seal,  and  Wild  Indigo  root,  may  be  used  in 
some  cases,  or  a solution  of  Sesquicarbonate  of  Potassa. 

HOMEOPATHIC. 

Attempts  should  never  be  made  to  arrest  the  discharge  by  in- 
jections, as  the  consequences  are  sometimes  most  dangerous.  If 
the  running  of  the  Ears  follows  Measles,  give  Pulsatilla  and  Sul- 
phur for  four  days,  each  remedy  on  two  successive  evenings,  six 
globules  at  a dose.  If  it  follows  Scarlet  fever,  give  Belladonna, 
Mercury,  Ilepar  Sulphur,  and  Lycopodium,  in  the  same  manner.  If 


154 


OUK  FAMILY  PHYSICIAN. 


it  follows  Small  Pox,  Mercury,  Lachesis,  Sulphur,  and  Calcarea 
Oarbonica.  These  remedies  should  be  given  for  a week  or  more, 
before  another  remedy  is  chosen.  When  the  matter  becomes  very 
offensive,  give  Mercurius,  Hepar  Sulphur,  Lycopodium,  Pulsatilla 
or  Sulphur.  When  the  matter  is  bloody,  Pulsatilla,  Mercury  and 
Lachesis  may  be  given.  If  there  is  severe  headache  and  fever 
present,  give  Belladonna  and  Bryonia,  in  alternation  (turn  about.) 
If  the  discharge  is  suddenly  suppressed,  and  the  glands  of  the 
neck,  or  in  front  of  the  ear  begin  to  swell,  give  Pulsatilla,  Mercury, 
or  Belladonna.  If  the  suppression  is  caused  by  taking  cold,  give 
Rhus,  or  Dulcamara.  If  after  the  suppression  the  testicles  swell, 
give  Pulsatilla,  Nux  Vomica,  or  Mercury. 

Administration  of  Remedies . — Of  the  selected  remedy,  dissolve 
twelve  globules  in  twelve  teaspoonsful  of  water,  and  give  one  tea- 
spoonful  of  the  solution  every  four  hours,  for  a week  at  a time, 
unless  other  directions  are  given  with  the  remedy.  If  it  is  more 
convenient  give  six  globules  at  a dose. 

Piercing  of  the  Ear. 

A simple  operation  for  piercing  the  ear  for  the  purpose  of  wear- 
ing earrings,  and  one  perfectly  painless  when  quickly  done,  is  made 
use  of  by  Dr.  H.  R.  Stout,  of  Chicago.  It  consists  of  pressing  the 
lobe  of  the  ear  against  a cork,  until  the  sense  of  feeling  is  dead- 
ened ; then,  without  removing  the  cork,  pass  a good  sized  needle 
and  thread  through  the  lobe,  and  make  a loop  of  the  thread,  which 
should  be  allowed  to  remain  until  the  ear  is  well.  The  thread 
should  be  moved  every  day  to  prevent  the  hole  growing  up. 
Sometimes  Erysipelas  is  caused  by  this  operation,  for  the  treat- 
ment of  which  see  Erysipelas  of  the  face  and  lips. 

Foreign  Substances  in  the  Ear. 

Insects  sometimes  get  into  the  ear,  for  which  drop  Sweet  oil  into 
the  ear  which  will  kill  the  insect,  and  then  it  can  be  easily  taken 
out.  If  a bean,  or  any  such  substance,  gets  into  the  ear,  it  should 
be  very  carefully  removed  with  a hair  pin,  bent  in  the  form  of  a 
hook  ; great  care  must  be  taken,  however,  not  to  push  it  further  in. 
It  is  best  that  all  such  operations  should  be  performed  by  an 
educated  physician. 


&ENEKAL  DISEASES, 


166 


CHAPTER  VII. 

Affections  of  the  Nose. 

Inflammaiion  and  Swelling  of  the  Nose. 

mHIS  may  be  caused  b y any  violence,  such  as  blows,  falls, 
A cuts,  etc.  Arnica  is  the  principal  remedy  when  this  is  the 
case,  a weak  solution  of  which  should  be  applied  to  the  nose  ; 
it  will  also  stop  bleeding,  caused  by  a severe  blow. 

Bleeding  of  the  Nose,  ( Ejpistaxis .) 

Bleeding  from  the  nose  is  of  very  common  occurrence,  especially 
among  young  people,  and  seldom  requires  any  treatment.  A slight 
blow,  or  a fit  of  sneezing,  or  intense  heat,  is  sufficient  to  cause  it 
in  some  persons.  It  is  owing  to  overfullness  of  the  blood-vessels 
of  the  head,  and  is  rather  a relief  than  otherwise. 

TREATMENT. ECLECTIC  AND  HERBAL. 

Cold  applications  to  the  forehead,  nose  and  back  of  the  neck 
should  be  used  ; pressure  on  the  nose  at  the  upper  part,  which  will 
close  the  blood-vessels,  is  sometimes  sufficient  to  suppress  it ; plug- 
ging the ‘nostrils  with  grated  dried  beef,  or  with  lint  or  cotton 
moistened  with  an  infusion  of  Geranium,  or  with  a solution  of  Sul- 
phate of  Zinc,  will  sometimes  be  found  beneficial. 

HOMEOPATHIC. 

When  the  bleeding  is  very  severe,  and  cannot  be  stopped  in  any 
other  way,  a piece  of  lint  should  be  passed  through  the  nostril  by 
means  of  a string  and  drawn  out  through  the  mouth  and  pulled  up 
until  it  presses  against  the  bleeding  vessels.  A favorite  remedy 
is  to  slip  a piece  of  ice  or  a cold  key  down  the  back  of  the  person  ; 
sometimes  holding  the  hands  above  the  head,  will  stop  the  bleed- 
ing. When  it  is  caused  by  a fall,  give  Arnica  ; when  it  results 
from  congestion  of  blood  to  the  head,  give  Aconite,  Belladonna, 
or  Bryonia.  When  it  arises  from  over  exertion,  give  Rhus.  If  from 


166 


OUR  FAMILY  PHYSICIAN. 


over-heating,  lie  quietly,  with  the  head  elevated,  and  take  Bryo- 
nia and  Aconite  in  alternation  (turn  about)  every  hour  or  half 
hour  ; if  it  occurs  at  night,  give  Rhus,  Bryonia  or  Belladonna 
alternately,  every  evening  a dose  ; if  in  the  morning,  Nux  Vomica, 
or  Bryonia  ; if  it  occurs  during  a cold  in  the  head,  give  Pulsatilla 
and  Arsenic  every  morning  and  evening,  a dose  of  each  alter- 
nately ; if  it  occurs  in  children  who  are  troubled  with  worms,  give 
Cina  and  Mercury  ; in  persons  who  are  weak,  or  are  rendered  so 
from  loss  of  blood  from  the  nose,  give  China,  a dose  every  half 
hour,  or  hour,  or  Ferrum,  if  China  does  not  relieve.  Clots  of  blood 
which  form  in  the  nose  should  not  be  removed  until  the  bleeding 
is  thoroughly  stopped.  Lint  pressed  tightly  under  the  upper  lip 
so  as  to  compress  the  artery  will  frequently  arrest  the  severest 
bleeding. 

ALLOPATHIC. 

Lint  or  the  scrapings  from  a fur  hat,  dipped  in  a strong  solution 
of  Alum  or  Tannin,  will  be  found  useful.  This  should  be  run  up 
into  the  nose  as  far  as  possible  ; sometimes  Monsel’s  Persalt  of 
Iron,  one  part,  to  ten  parts  of  water,  may  be  used  with  benefit. 


Cold  in  the  Head,  {Coryza  — Catarrh.) 

This  is  an  affection  of  the  mucous  membrane  of  the  nose  and 
throat,  sometimes  extending  into  the  windpipe  and  lungs. 

Symptoms . — - The  catarrh  usually  commences  with  dull  pain  and 
sense  of  weight  in  the  forehead,  oppression  at  the  chest  and  diffi- 
culty in  breathing,  frequent  sneezing,  heaviness  of  the  head,  and 
dryness  and  fullness  with  stuffing  in  the  nose,  soreness  of  the 
throat,  hoarseness,  eyes  more  or  less  red  and  watery  ; in  a short 
time  a thin  fluid  is  discharged  from  the  nose,  the  cough  becomes 
more  moist  and  the  expectoration  becomes  yellow  and  thick,  the 
patient  complains  of  a roughness  or  soreness  of  the  throat,  loss  of 
sense  of  smell,  dullness  of  hearing,  hoarseness,  tickling  cough  ; the 
person  affected  is  generally  worse  at  night, -with  some  fever  and 
severe  pains  in  various  parts  of  the  body,  thirst,  and  flashes  of 
heat  alternating  with  chilliness.  When  the  inflammation  is  con- 
fined to  the  mucous  membrane  of  the  nostrils,  there  is  sneezing, 
a sense  of  fullness  and  heat  of  the  parts,  with  a thin,  watery 
discharge. 


GENERAL  DISEASES. 


157 


TREATMENT.  HOMEOPATHIC. 

Aconite . — Is  always  proper  in  the  beginning  of  a cold,  even  if 
there  is  but  slight  fever,  also  when  the  discharge  from  the  nose  is 
suppressed  and  is  followed  by  a headache.  Camphor  is  also  good 
for  the  same  symptoms  ; if  there  is  nothing  but  the  ordinary  Spir- 
its of  Camphor  convenient,  one  or  two  drops  should  be  put  on  a 
lump  of  sugar,  and  the  sugar  dissolved  in  a tumbler  half  full  of 
water,  and  give  according  to  the  directions. 

Arsenicum . — Not  much  fever,  heat  or  thirst,  patient  restless, 
particularly  at  night,  drinks  often  and  but  little  at  a time,  discharge 
acrid  and  corrosive,  burning  heat  of  the  nose,  the  discharge  pro- 
duces a swelling  of  the  adjacent  parts,  redness  and  watering  of  the 
eyes.  Ipecac  may  be  given  if  Arsenic  does  not  relieve. 

Nux  Vomica.  — Should  be  given  when  there  is  obstruction,  with 
little  if  any  running  from  the  nose,  but  if  there  is  running,  it  is  in 
the  morning,  with  dryness  at  night,  mouth  dry  and  parched  without 
much  thirst,  constipation,  fever  and  chills  alternate  in  the  evening. 

Chamomilla.  — When  the  difficulty  is  caused  by  checked  per- 
spiration, shivering,  with  heat  and  thirst,  heaviness  of  the  head, 
swelling  of  the  face,  and  redness  of  the  cheek,  redness  and  inflam- 
mation of  the  eyes. 

Mercury.  — Constant  sneezing,  soreness  of  the  nose,  with  con- 
stant watery  discharge,  which  produces  soreness  of  the  part  with 
which  it  comes  in  contact,  swelling  and  redness  of  the  nose,  tear- 
ing headache,  pains  in  the  bones  of  the  nose,  Catarrh  worse  in  the 
morning,  offensive  smell. 

Belladonna.  — Swelling,  redness  and  burning  of  the  nose,  pain 
in  the  nose,  aggravated  by  touching,  throbbing  pain  in  the  head, 
aggravated  by  motion. 

Hepar  Sulphur.  — Particularly  when  but  one  nostril  is  affected, 
burning  headache,  especially  about  the  root  of  the  nose,  which  is 
made  worse  by  the  slightest  movement,  Catarrh  renewed  by  every 
breath  of  wind.  Hepar  should  be  given,  especially  when  Mercury 
affords  but  little  relief. 

Pulsatilla.  — Thick,  green  or  yellowish  discharge  through  the 
nose,  which  is  very  offensive,  heaviness  and  confusion  in  the  head  ; 
frequently  towards  night  and  in  the  warmth  of  the  room,  the 
obstruction  of  the  nose  increases,  pain  in  half  of  the  head,  frequent 
sneezing,  painful  pressure  at  the  root  of  the  nose,  flying  pains  from 
place  to  place,  roaring  in  the  ears. 

Euphrasia.  — Especially  when  the  eyes  are  irritated  and  watery. 

Lycopodium. — Obstruction  of  the  nose,  especially  at  night,  sense 
of  smell  very  acute,  tearing  pains  in  the  forehead,  dryness  of  the 
mouth,  without  thirst. 

Silicea.  — Chronic  Catarrh,  with  severe  pains  in  the  bones  of  the 


158 


OUR  FAMILY  PHYSICIAN. 


nose.  Tartar  Emetic  may  be  given  in  some  cases,  when  there  is 
sneezing,  chillinesc  ^ss  of  taste  and  smell ; sometimes  when  the 
secretion  becomes  suppressed,  or  before  it  has  commenced,  and  the 
nose  is  hot  and  dry,  a little  Almond  oil,  or  cold  cream  may  be  ap- 
plied to  the  inside  of  the  nose  with  a feather,  or  a camel’s-hair 
pencil,  or  a vapor  of  hot  water  may  be  allowed  to  pass  up  the 
nostril,  which  will  be  found  to  afford  some  relief. 

Administration  of  Remedies.  — Where  the  directions  are  not  given 
with  the  remedy,  dissolve  twelve  globules  in  twelve  teaspoonfuls 
of  water,  and  give  a teaspoonful  every  hour  or  two  or  three  hours, 
according  to  the  urgency  of  the  symptoms.  The  application  of 
water  is  very  beneficial  in  this  disease  and  may  be  used  at  the 
same  time  that  the  remedies  are  being  given  ; the  patient  should 
be  confined  to  a room  which  is  not  too  warm,  and  a wet  bandage 
should  be  applied  around  the  breast  and  abdomen,  and  the  patient 
should  remain  in  bed,  well  covered,  and  be  allowed  to  drink  plenty 
of  cold  water  to  induce  perspiration.  After  having  perspired  some 
time,  take  a milk-warm  bath. 


ALLOPATHIC. 

A good  way  to  stop  Catarrh  is  to  go  to  bed  early,  taking  a half 
pint  of  some  warm  drink,  a teaspoonful  of  Paregoric  Elixir,  or  a 
tablespoonful  of  Syrup  of  Poppies,  or  a half  ounce  of  Epsom  Salts, 
or  a Seidlitz  Powder  in  the  morning.  Sometimes  the  following 
may  be  used  : 

Sulphate  of  Magnesia,  - 1 ounce. 

Nitrate  of  Potash,  - - - - - 10  grains. 

Extract  of  Liquorice,  - 1 scruple. 

Compound  Infusion  of  Senna,  - - - 5^  ounces. 

Tincture  of  Senna  or  Jalap,  - - 3 drachms. 

Spirits  of  Sal  Volatile,  1 drachm. 

Mix.  Two  or  three  tablespoonfuls  at  a dose.  This  should  be 
followed  by 

Acetate  of  Ammonia,  - - - - ounces. 

Sweet  Spirits  of  Nitre,  - 2 drachms. 

Syrup, 2 “ 

Camphor  Mixture,  ....  4 ounces. 

Mix.  "When  there  is  no  fever,  sometimes  a dose  of  Sulphate  of 
Magnesia  and  the  avoidance  of  exposure  to  cold  or  wet,  and  absti- 
nence from  animal  food,  is  all  that  will  be  necessary  to  check 
it.  Frequently  when  the  symptoms  are  severe,  hot  foot-baths,  to 
which  has  been  added  salt  or  mustard,  should  be  used.  Sometimes 
the  symptoms  may  be  removed  by  the  inhalation  through  the  nos- 
trils of  the  vapor  from  the  mixture  of  Laudanum  and  Hoffman’s 


GENERAL  DISEASES. 


159 


Anodyne,  equal  parts  ; a lump  of  Camphor  held  under  the  nostrils 
will  sometimes  give  relief.  A solution  of  extract  of  opium  in  the 
proportion  of  a grain  to  the  ounce  of  water,  and  drawn  into  the 
nostrils  by  breathing,  is  promptly  effectual.  Dr.  John  A.  Lock- 
wood  has  found  a solution  of  Nitrate  of  Silver  in  the  proportion 
of  eight  or  ten  grains  to  the  ounce,  and  applied  to  the  mucous 
membrane  of  the  nostrils  by  means  of  a camel’s  hair  pencil,  to  be 
an  excellent  remedy.  Dr.  C.  J.  A.  Williams,  recommends  a dry 
plan  of  cure,  which  is  sometimes  very  effective.  He  allows  no 
drink  except  a tablespoonful  of  tea  or  milk,  for  each  of  the  morn- 
ing and  evening  meals,  and  a wine-glassful  of  water  at  bed  time  ; 
the  symptoms  generally  disappear  in  the  course  of  thirty-six  or 
forty-eight  hours.  The  advantage  of  this  plan  is  that  the  person 
may  pursue  his  ordinary  employment  without  difficulty.  Dr. 
Chapman  of  the  University  of  Pennsylvania  recommends  that  one 
or  two  grains  of  opium,  or  two  to  twenty  grains  of  Dover’s  Powder 
should  be  taken  at  bed  time,  and  the  patient  will  often  wake  in 
the  morning  free  from  disease.  It  may  be  necessary  to  give  a 
dose  of  Sulphate  of  Magnesia,  or  Salts,  to  overcome  the  constipat- 
ing effects  of  the  opium. 

ECLECTIC  AND  HERBAL 

When  the  attack  is  mild,  but  little  medicine  is  required.  The 
patient  on  going  to  bed,  should  bathe  the  feet  in  warm  lye  water, 
and  drink  freely  of  some  warm  herb  tea,  as  Peppermint,  Penny- 
royal, Sage,  or  Composition  Powder,  and  a dose  of  DoverVPowder. 
In  some  cases,  the  Compound  Tincture  of  Virginia  Snake  Root 
may  be  given  every  hour,  a teaspoonful  at  a dose,  to  cause  perspi- 
ration. For  the  cough  sometimes  attending  this  complaint,  a pop- 
ular domestic  preparation,  is  composed  of  honey  or  molasses  and 
vinegar  heated  together,  and  fresh  butter  melted  in  the  mixture  ; a 
teaspoonful  or  two  may  be  taken  for  a dose,  and  repeated  as  often 
as  is  necessary.  The  Compound  Tincture  of  Golden  Seal,  either 
diluted  or  not,  may  be  applied  to  the  lining  membrane  of  the  nose, 
by  means  of  a camels’-hair  pencil,  and  repeated  several  times  a 
day,  will  sometimes  relieve  very  quickly. 

The  following  is  recommended  by  Dr.  King,  as  being  useful  for 
freeing  the  nostrils  from  the  sense  of  fullness  and  obstruction  : 

Powdered  Cubebs,  2 drachms. 

Balsam  Tolu,  ......  6 grains. 

Mix  well  together  and  add, 

Powdered  Ext.  of  Liquorice,  - - 1 ounce. 

Syrup  of  Balsam  Peru,  - - 1 drachm. 

Powdered  Gum  Arabic,  a sufficient  quantity. 

Mix  together  thoroughly,  and  divide  into  lozenges  of  ten  grains 


160 


OUR  FAMILY  PHYSICIAN. 


each  ; one  is  to  be  taken  for  a dose,  and  repeated  as  often  as  re- 
quired. Sometimes  a hot  infusion  of  Boneset,  taken,  at  night  on 
going  to  bed,  after  soaking  the  feet  in  warm  water,  will  promptly 
relieve.  Great  care  should  be  taken  after  using  any  of  these  means 
at  night,  not  to  expose  the  patient  the  following  day. 

It  is  a good  plan,  to  prevent  this  troublesome  affection,  to  wash 
the  head  and  back  of  the  neck,  every  day  in  very  cold  water,  or  if 
it  is  caused  by  wet  feet,  to  dip  them  in  ice-cold  water  every  morn- 
ing. This  plan  should  be  begun  in  the  warm  weather,  and  contin- 
ued through  the  winter. 

Chronic  Catarrh,  ( Ozcena  Narium — Ulceration  in  the  Nose.) 

This  may  be  caused  by  neglect  of  the  acute  Catarrh,  or  from 
frequent  attacks  of  Catarrh  or  cold  in  the  head,  and  the  disease 
may  continue  for  years  and  be  a very  troublesome  complaint.  It 
causes  severe  pains  in  the  head  and  eyes,  watering  of  the  eyes, 
great  discharge  of  mucus  from  the  nose,  loss  of  appetite,  emacia- 
tion, and  the  like  ; it  may  also  follow  other  diseases,  as  Scarlet 
Fever  and  Measles. 


TREATMENT.  — allopathic. 

Dr.  Wood  recommends  that  an  injection  of  Acetate  of  Lead, 
Sulphate  of  Zinc,  Sulphate  of  Copper,  or  Nitrate  of  Silver,  should 
be  used.  He  prefers  Sulphate  of  Zinc,  beginning  with  two  grains 
to  the  ounce  of  water,  and  increasing  as  the  nostrils  are  found  to 
bear  the  impression,  to  ten,  fifteen,  or  even  twenty  grains  to  the 
ounce ; this  injection  should  be  repeated  every  day,  or  twice  a day, 
and  continued  for  months,  if  necessary.  If  the  part  which  is 
affected  can  be  reached  by  a camel’s-hair  pencil,  it  is  the  best 
means  to  use.  Where  the  discharge  is  offensive,  a solution  of 
Chloride  of  Soda,  Potassa,  or  Lime,  will  be  beneficial.  Sometimes 
the  inhalation  of  the  vapor  of  Creosote,  Tar  and  Vinegar,  will  be 
useful. 

ECLECTIC  AND  HERBAL. 

Dr.  Gunn  recommends  a snuff,  composed  of  equal  parts  of  Pulver- 
ized Bayberry,  and  Blood-root  and  Peruvian  Bark,  to  be  snuffed  up 
the  nose,  several  times  a day.  At  the  same  time  boil  a handful  of 
hops,  hoarhound,  and  Chamomile  in  a quantity  of  vinegar,  and 
inhale  the  warm  vapor  through  the  nose,  several  times  a day. 

The  following  are  some  other  prescriptions  which  are  re« 
commended : 


GENERAL  DISEASES. 


161 


Blood  Root,  and  Bayberry  Bark,  each 
each  in  fine  powder. 

Powdered  Myrrh,  .... 

Mix  and  use  several  times  a day,  as  a snuff. 

Or  this: 

Powdered  Camphor,  * 

Benzoic  Acid,  ..... 
Powdered  Opium,  * 

Red  Peruvian  Bark,  - 


1 ounce. 
£ ounce. 


1 drachm. 
20  grains. 

6 “ 

4 drachms. 


Mix  thoroughly,  and  scent  with  the  oil  of  Bergamot,  and  use  as 
a snuff.  The  bowels  should  be  kept  loose,  by  an  occasional  purga- 
tive, and  the  skin  should  be  daily  bathed  with  warm  saleratus  water, 
[t  is  a good  plan  for  the  patient  to  drink  freely  of  Composition  tea 
on  going  to  bed. 

In  very  obstinate  cases,  the  following  may  be  applied  to  the 
aostrils  by  means  of  a cameLs-hair  pencil : 

Cubebs, ounces. 

Golden  Seal, H “ 

Lobelia, . - - - # - * - - 1£  “ 

Blood  Root,  l-|r  “ 

Capsicum,  3 drachms. 

Diluted  Alcohol,  .....  2 quarts. 

Mix  together  and  let  the  mixture  stand  for  several  days,  fre- 
quently shaking.  If  there  is  much  cough,  Tinctures  of  Lobelia, 
and  Blood  Root,  Wine  of  Ipecac,  and  Syrup  of  Balsam  of  Peru, 
equal  parts,  should  be  taken  in  doses  of  one  teaspoonful,  several 
times  a day. 


HOMEOPATHIC. 


The  treatment  may  be  commenced  with  Belladonna,  a dose  every 
second  evening  ; continue  this  treatment  for  one  week,  and  then 
give  Aurum,  in  the  same  manner,  and  follow  this  by  Mercury,  after 
which  take  Sulphur  in  the  same  manner.  If  there  is  fever  and 
heat  and  the  ulcer  does  not  discharge,  give  Aconite  and  Belladonna 
alternately,  in  solution,  a teaspoonful  every  two  hours.  Arsenicum 
is  one  of  the  best  remedies  in  this  complaint,  if  pains  are  severe, 
burning  and  throbbing. 

o o 

Lycopodium.  — Discharge  thick  and  yellowish,  when  the  Catarrh 
is  connected  with  Scrofula,  or  occurs  in  a scrofulous  person.  Phos- 
phorus, Silicea,  Nitric  Acid,  and  Conium  are  beneficial.  If  it 
results  from  Syphilis,  Hepar  Sulphur,  Aurum,  Nitric  Acid,  Lache- 
sis,  Lycopodium,  Sulphur,  Sulphuret  of  Mercury  are  indicated. 

11 


162 


OUR  FAMILY  PHYSICIAN. 


Polypus  of  the  Nose. 

Polypi  are  frequently  met  with  ifr  other  localities  besides  the 
nose,  as  the  ear,  stomach,  intestines  ; those  found  in  the  nose  are 
usually  soft,  and  of  a yellowish,  or  yellowish-white  color,  and  some 
are  transparent.  They  gradually  increase  in  size,  giving  rise  to 
sneezing,  fullness  and  dull  pains  in  the  head,  and  at  length  fill  up 
the  cavity  of  the  nose,  and  interrupt  breathing,  especially  during 
sleep.  Generally,  the  only  trouble  with  the  polypus  is  its  inter- 
ference with  respiration,  but  it  sometimes  causes  much  pain  and 
headache,  and  the  bones  of  the  nose  decay  and  discharge  a very 
offensive  fluid. 

It  is  generally  necessary  that  they  should  be  removed  by  a Sur- 
geon, but  some  cases  may  be  treated  by  internal  remedies  without 
resort  to  surgical  interference. 

TREATMENT. ECLECTIC  AND  HERBAL. 

The  following  powder  may  be  used  as  a snuff : ^Take  one  ounce 

each  of  finely  powdered  Bayberry  Bark,  and  May  Apple  Root,  and 
four  ounces  of  Blood  Root  ; mix  and  use  as  a snuff  several  times  a 
day.  It  may  be  applied  by  a rag  wrapped  on  a probe  of  any  kind, 
and  dipping  it  into  the  powder,  after  wetting  the  rag.  If  the 
Polypus  can  be  reached,  portions  of  it  may  be  twisted  off,  and  then 
snuff  applied  to  it,  and  it  will  gradually  kill  the  excrescence,  and  it 
will  fall  off.  Powdered  Poke  Root  is  also  beneficial.  Dr.  King 
recommends  the  Sulphate  of  Zinc  two  scruples,  water,  one  ounce  ; 
this  should  be  introduced  into  the  nose  upon  lint  well  moistened, 
and  repeat  the  application  four  or  five  times  a day.  It  is  some- 
times well,  after  using  the  snuff  mentioned  first,  to  use  the  follow- 
ing: 

Tincture  of  Blood  Root,  ...  2 ounces. 

Sulphate  of  Zinc,  - - - - - 2 drachms. 

Mix,  and  apply  to  the  tumors  several  times  a day. 

HOMEOPATHIC . 

Staphysagria,  Calcarea,  Sepia,  Silicea  and  Thuja  are  the  reme- 
dies for  this  complaint.  Take  each  remedy  for  three  weeks,  a dose 
every  day.  At  the  end  of  three  weeks,  change  to  another  remedy, 
jind  then  continue  until  it  is  cured.  Teucrium  is  highly  recom- 
mended for  this  complaint ; a dose  should  be  taken  every  evening 
for  several  months. 


GENEUAL  DISEASES. 


163 


ALLOPATHIC. 

Injections  of  a solution  of  Alum  have  been  recommended  ; or 
touching  the  tumors  daily  with  muriated  Tincture  of  Iron,  will  some 
times  remove  them. 

Cancer. 

This  is  a malignant  disease  which  attacks  various  organs  of  the 
human  body,  external  or  internal,  and  tends  to  the  progressive  in- 
vasion, of  the  neighboring  tissues,  and  the  final  destruction  of  the 
parts.  In  the  early  stages  the  disease  generally  assumes  the  form 
of  a simple  tumor.  This  gradually  enlarges,  becomes  more  and 
more  inflamed  and  discolored,  the  surface  being  hard,  with  tender 
spots  here  and  there.  Later,  there  is  a local  softening,  the  tissues 
breaking  down  in  places,  and  through  the  openings  thus  formed 
there  is  discharged  a foetid  and  dark-colored  exudation.  These 
openings  show  no  signs  of  healing,  but  gradually  enlarge,  destroying 
the  flesh  as  they  increase  in  size.  In  this  way  the  disease  progresses 
till  the  patient  dies,  death  often  being  caused  by  the  destruction  of 
a blood  vessel  that  has  become  involved  in  the  ulceration.  The 
malady  is  usually  very  slow  in  its  advances,  patients  sometimes  suf- 
fering for  years  from  this  terrible  complaint. 

Causes. — The  immediate  cause  of  a cancer  is  usually  a bruise  or 
wound,  though  it  is  beyond  doubt  that  the  ultimate  seat  of  the  diffi- 
culty is  in  the  blood,  a poisoned  condition  of  which  renders  the  pa- 
tient liable  to  a cancerous  affection.  The  disease  is  hereditary  in 
many  cases,  sometimes  remaining  in  the  same  family  for  several  gen- 
erations. From  the  fact  that  Jews  are  seldom  afflicted  with  this 
complaint,  it  is  held  that  those  who  eat  pork  are  more  liable  to  the 
malady  than  those  who  abstain  from  that  article  of  food. 

. TREATMENT. 

The  patient  should  abstain  from  heating  foods  and  stimulating- 
drinks,  and  be  very  careful  not  to  exercise  too  violently,  or  overheat 
the  blood,  especially  in  hot  weather.  In  case  the  cancer  is  external, 
a wTet  compress  should  be  used  day  and  night.  This  should  be  of 
soft  linen,  and  made  in  the  form  of  a pad  a little  larger  than  the 
sore.  Wet  in  tepid  water,  and  cover  with  a warm  flannel. 


1G1 


OUR  FAMILY  PHYSICIAN. 


The  latest  discoveries  pertaining  to  the  treatment  of  this  disease 
are  to  the  effect  that  the  Extract  of  Red  Clover  Blossoms  is  almost 
specific  for  the  malady.  Many  physicians  especially  prescribe  a 
preparation  of  this  remedy  made  by  D.  Needham’s  Sons,  of  Chicago, 
111.  It  is  in  the  form  of  either  a fluid  or  solid  extract,  and  has  been 
used,  in  multitudes  of  cases,  both  by  the  profession  and  generally, 
with  the  most  beneficial  results.  It  cleanses  the  blood  of  its  cancer- 
ous impurities,  and  hence  removes  the  prime  cause  of  the  difficulty. 
The  remedy  can  be  readily  procured,  if  not  from  the  drug  stores, 
then  direct  from  the  manufacturers.  In  using  this  or  any  other 
treatment,  it  is  of  the  utmost  importance  that  the  disease  be  taken 
in  hand  in  its  early  stages,  and  persistently  looked  after  until  a cure 
is  effected.  It  is  doubtful  whether  a surgical  operation,  at  any  stage 
of  the  disease,  is  of  permanent  benefit  to  the  patient. 

ECLECTIC  AND  HERBAL. 

The  application  of  raw  Cranberries  is  said  to  cure  this  inveterate 
disease.  The  berries  should  be  mashed  and  applied  as  a poultice  ; 
the  effect  of  the  Cranberries  will  be  to  form  pustules  like  the  small- 
pox ; tne  cancerous  matter  is  gradually  drawn  out  through  these 
pustules,  and  the  cancer  decreases  in  size  at  every  application. 

The  following  is  recommended  as  being  a specific  : take  an  egg 
and  break  it,  pour  out  the  white  and  retain  the  yolk  in  the  shell ; 
then  put  in  salt,  and  mix  with  the  yolk  as  long  as  it  will  receive  it, 
stir  them  together  until  a salve  is  formed,  put  a portion  of  this  on  a 
piece  of  sticking-plaster,  and  apply  to  the  cancer  twice  a^day. 

The  following  is  said  to  have  cured  several  cases  of  cancer : 

Lard, 3 pounds. 

Verdigris,  2 ounces. 

Beeswax,  2 “ 

Scotch  Snuff,  - - 1 pound. 

Melt  the  lard  and  beeswax,  and  then  stir  in  the  other  articles. 
Apply  in  the  form  of  a plaster. 

HOMEOPATHIC. 

Arsenicum. — Is  the  most  important  remedy  when  the  following 
symptoms  are  present : Burning,  swelling  of  the  part,  with  pain  on 
contact,  ulceration,  with  a discharge  of  offensive  matter,  .tearing  and 
smarting  pains  in  the  daytime  ; the  tongue  is  blackish  and  cracked. 
Sulphur  is  another  remedy  which  is  found  useful.  The  treatment  of 
this  disease,  however,  should  be  conducted  only  by  an  educated  phy- 
sician. 


GENERAL  DISEASES. 


165 


Foreign  Substances  tn  the  Nose. 

Substances  in  the  nose  may  be  removed  by  closing  the  mouth 
and  the  opposite  nostril,  and  then  blowing  forcibly  through  the 
nostril  in  which  the  substance  is  lodged  ; tickling  the  nostril  with 
a feather  tc  cause  sneezing,  will  sometimes  force  the  substance  out. 
If  these  means  do  not  succeed,  press  the  thumb  or  finger  against 
the  nose,  above  the  foreign  body,  and  then  pass  up  a knitting 
needle,  or  a hair-pin,  which  is  bent  in  the  form  of  a hook,  and 
bring  down  the  substance  with  this  ; sometimes  the  substance  can 
be  pushed  back  so  as  to  fall  into  the  mouth,  but  it  i3  best  cot  to 
resort  to  this  means,  as  it  may  caus"?  difficulty. 


166 


OUR  FAMILY  PHYSICIAN. 


CHAPTER  V III  . 
Affections  of  the  Face,  Lips  and  Jaws. 


Erysipelas  of  the  Face  and  Lips. 

THIS  differs  in  no  way  from  Erysipelas  as  it  generally  appears. 

There  is  always  more  or  less  heat,  swelling  and  redness  of 
the  face,  and  sometimes  delirium,  and  inflammation  of  the  brain 
may  follow  it.  The  treatment  of  Erysipelas  of  the  face,  does  not 
differ  from  that  of  Erysipelas  generally. 

ALLOPATHIC. 

It  is  well  to  begin  treatment  with  a small  dose  of  Epsom  Salts, 
or  Rochelle  Salts,  or  Citrate  of  Magnesia.  If  the  stomach  is  in 
good  condition,  follow  with  a half  grain  of  blue  pill,  and^a  third  of 
a grain  of  Ipecac,  every  three  hours.  The  neutral  mixture,  whmh 
is  prepared  as  follows,  may  be  found  of  service  — to  be  used  at  tlifc 
same  time : 

Syrup  of  Potassa,  .....  2 drachms. 

Lemon  Syrup,  .....  £ ounce. 

Water,  -------  3^  ounces. 

Mix.  Dose,  a tablespoonful  of  this  mixture,  with  one  of  water, 
every  two  or  three  hours.  Lemon  Syrup  may  be  omitted,  if  desir- 
able. Lard,  tallow,  or  cold  cream,  may  be  applied  to  the  face,  to 
relieve  the  heat  and  burning,  and  also  a mucilage  of  Slippery  Elm 
Bark,  or  Flax  seed.  The  eruption  may  sometimes  be  prevented 
from  spreading  over  the  head,  by  painting  a line  around  the  border 
of  the  inflammation,  of  half  an  inch  in  width,  with  the  Tincture 
of  Iodine,  or  a strong  solution  of  Nitrate  of  Silver. 

ECLECTIC  AND  HERBAL. 

Steaming  the  face  over  a decoction  of  Boneset,  Tansy,  or  Hops, 
two  or  three  times  a day,  will  be  found  beneficial.  A poultice  of 
a pint  or  two  of  boiled  cranberries,  mixed  with  powdered  elm  bark 
or  wheat  flour,  spread  upon  a cloth  and  applied  to  the  face,  is  a 
specific  for  this  complaint. 


GENERAL  DISEASES. 


167 


HOMEOPATHIC. 

Aconite . — Fever  high,  pulse  full,  skin  dry.  Follow  in  a few 
hours  with  Belladonna,  especially  when  the  head  is  more  or  less 
affected.  Aconite  and  Belladonna  may  be  given  in  alternation,  if 
necessary. 

Lachesis. — Particularly  if  the  patient  complains  of  dryness  of 
the  throat  and  pain  on  swallowing,  and  also,  when  the  patient 
coughs  without  raising.  These  remedies  may  be  given  every  two 
or  three  hours,  either  alone  or  in  alternation. 

For  the  further  treatment  of  Erysipelas,  see  Chapter  I,  General 
Diseases. 

Eruptions  on  the  Face. 

Eruptions  on  the  face  are  of  several  varieties.  They  are  gen* 
erally  chronic  affections,  and  are  very  likely  to  last  some  time. 
They  appear  more  generally  on  the  faces  of  the  young,  or  those 
who  are  addicted  to  intemperance  in  eating  or  drinking.  The  va- 
rieties are  Acne  Simplex,  Acne  Rosacea,  and  Acne  Pustulosa.  In 
Acne  Simplex,  a small,  red,  inflamed  pimple  arises  gradually,  which 
is  of  a pale,  yellow  color ; this  bursts,  and  a small  quantity  of 
matter  escapes,  forming  a scab,  which  is  detached  in  a few  days, 
when  the  base  of  the  pustule  remains  hard,  and  of  a deep  red  color. 
The  pimple  when  disappearing,  generally  leaves  a white  scar. 
This  form  may  be  known  by  the  round,  blackish  spot  which  some- 
times appears,  and  which  is  caused  by  an  obstruction  of  the  sweat 
gland  — the  black  spot  itself  being  formed  by  the  dust  collecting 
on  the  face. 

Acne  Rosacea  always  affects  the  face,  and  is  found  usually  in 
adults,  and  most  frequently  in  high  livers  ; the  pimples  are  hard, 
red  and  small,  but  as  they  mature,  they  grow  larger,  and  finally 
a bloody  matter  escaping,  forms  a small  scab.  The  disease  is  a 
very  difficult  one  to  cure,  and  is  very  unsightly  in  its  appearance. 

Acne  Pustulosa  is  quite  painful,  and  especially  when  it  ap- 
pears upon  the  scalp.  All  these  eruptions  are  found  around  the 
sweat  follicles  of  the  skin,  and  are  caused  by  some  obstruction  to 
the  perspiration. 


168 


OUR  FAMILY  PHYSICIAN. 


TREATMENT. ECLECTIC  AND  HERBAL. 

The  patient  should  live  temperately,  avoiding  all  stimulants,  tea, 
coffee,  liquor,  and  eating  but  little  animal  food.  The  surface  of 
the  body  should  be  bathed  in  a weak  solution  of  lye  water  every 
day.  Where  the  trouble  is  caused  by  any  derangement  of  the 
digestive,  or  other  organs,  they  should  be  attended  to.  As  a local 
application,  the  following  may  be  used : 

Muriate  of  Ammonia,  - - - - 3 drachms. 

Tincture  of  Conium,  - - - - 1^  ounces. 

Distilled  AVater,  ....  1 ounce. 

Mix,  and  touch  the  parts  affected  several  times  a day. 

The  following  has  proved  a good  wash : 

Aqua  Ammonia,  1 ounce. 

Tincture  of  Lobelia,  ....  1 “ 

Tincture  of  Myrrh,  - • - - • 1 “ 

Mix,  and  apply  two  or  three  times  a day. 

After  the  pustules  form,  they  should  be  opened,  the  matter  let 
out,  and  the  above  wash,  or  the  following  used : 

Milk  of  Sulphur,  .....  2 drachms. 

Gum  Camphor,  .....  i drachm. 

Alcohol,  .......  2 ounces. 

Water, 2 “ 

Dissolve  the  Camphor  in  the  Alcohol,  then  mix.  Bathe  the 
part  affected,  with  a little  of  this  every  night  on  going  to  bed. 

When  the  disease  is  recent  and  before  it  has  become  chronic, 
equal  parts  of  Cologne,  and  Saturated  Solution  of  Oxalic  Acid 
will  prove  beneficial. 

HOMEOPATHIC. 

Causticum , Rhus,  Sejna,  and  Carlo  Animalis , for  Acne  Rosacea. 

Belladonna , Iiepar  Sulphur , Natrum,  Nitric  Acid , Sulphur , and 
Sepia , for  Acne  Simplex. 

llydriodate  of  Potassa  is  recommended  for  these  eruptions  on  the 
face.  Two  grain  doses  should  be  taken  three  times  a day. 

Mercurius  Cor.  — When  there  is  a syphilitic  taint  in  the  system. 

Administration  of  Remedies . — Of  the  remedy  chosen,  give  a dose 
three  times  a day,  for  three  or  four  weeks,  before  changing  the 
remedy. 

ALLOPATHIC. 

A solution  of  Carbonate  or  Bicarbonate  of  Soda,  one  scruple  to 
a pint  of  water,  has  proved  a good  wash.  The  following  ointment 
is  also  recommended  : 


GENERAL  DISEASES. 


L69 


Ammoniated  Mercury, 

1 scruple. 

Glycerine, 

1 drachm. 

Oil  of  Bitter  Almonds, 

3 drops. 

Lard,  *■  - - 

1 ounce. 

Mix,  and  apply  every  day. 

For  the  black  specks,  called  flesh- 

worms,  which  appear  about  the  nose,  or  on  the  forehead,  or  m the 

hollow  of  the  chin,  the  following  will  prove  efficacious  : 

Liquor  of  Potassa, 

1 ounce. 

Cologne, 

2 ounces. 

White  Brandy,  * 

4 “ 

Mix.  For  some  of  these 

eruptions,  the  following  is  highly 

recommended  : • 

Sulphur  Water,  - - * * 1 ounce. 

Acetated  Liquor  of  Ammonia,  * b “ 

Solution  of  Potassa,  - * • b “ 

White  Wine  Vinegar,  ...  2 ounces. 

Distilled  water,  .....  2 “ 

In  obstinate  cases,  the  following  may  be  used  : 

Corrosive  Sublimate,  - - - * 2 to  5 grains. 

Water, 1 ounce. 

Apply  with  a little  cotton  upon  a knitting  needle,  allowing  it  to 
iemain  upon  the  face  for  a few  moments  only. 

The  following  ointment  is  also  highly  recommended  : 

Iodide  of  Sulphur,  * * - - ' 15  to  20  grains. 

Lard, 1 ounce. 

Face-ache,  Neuralgia,  (Tic  Douloureux.) 

Neuralgia,  or  Tic  Douloureux,  is  one  of  the  most  painful  affec- 
tions to  which  the  human  family  is  subject.  In  plain  language,  it 
means  pain  in  the  nerve,  as  the  pain  generally  follows  along  the 
course  of  a nerve,  though  at  other  times,  the  pain  is  confined  to  a 
particular  spot,  and  may  arise  from  a distant  source  of  irritation, 
as  the  brain,  stomach  or  bowels.  In  most  cases,  the  pain  is  the 
only  symptom,  there  being  no  swelling  or  other  sign  of  inflammation. 
Neuralgia  may  affect  different  parts  of  the  body,  but  is  more  gen- 
erally confined  to  the  head.  Neuralgia  of  the  face  is  mostly  con- 
fined to  the  fifth  pair  of  nerves,  which  branch  out  over  the  face. 
The  branch  over  the  eyebrows  is  most  frequently  affected,  but  some- 
times all  the  branches  are  affected,  the  pain  being  very  severe. 


1 TO 


OUR  FAMILY  PHYSICIAN. 


The  attack  generally  comes  on  suddenly,  with  a sensation  as  of  & 
shock  of  electricity,  subject  however,  to  intermissions  and  remis- 
sions ; the  pain  is  very  sharp,  darting  and  lancinating,  shooting 
along  the  nerves,  the  sensation  being  frequently  a3  if  red  hot 
wires  were  thrust  into  the  part.  After  the  pain  has  passed  away, 
it  is  generally  succeeded  for  a considerable  time  by  numbness. 
Sometimes,  however,  the  attack  comes  on  gradually,  becoming 
constantly  more  severe.  During  the  paroxysm,  the  features  are 
apt  to  be  distorted,  by  the  spasmodic  action  of  the  muscles  of  the 
face. 

Causes . — A current  of  air,  sudden  jar  or  shock,  exposure  to  damp 
air,  debility,  derangement  of  the  digestive  organs,  etc. 

TREATMENT. HOMEOPATHIC. 

Aconite.  — Throbbing,  burning,  shooting  pains,  appearing  in  par- 
oxysms, and  preceded  by  slight  aching  or  crawling  pains,  worse  at 
night,  swelling  of  the  cheek  or  jaws,  thirst,  agitation  and  tossing 
about,  pain  confined  to  one  side  of  the  face,  violent  beating  of  the 
arteries  of  the  neck  and  head,  eyes  sparkling,  buzzing  pain  through 
the  ears,  temples  and  sides  of  the  neck,  fever. 

Belladonna.  — Paroxysms  commencing  gradually,  with  a creep- 
ing or  itching  in  the  affected  part,  cheeks  red  and  swollen,  darting, 
shooting,  drawing  pains,  in  the  cheek  bones,  nose  and  jaw,  twitch- 
ing of  the  eyelids  and  muscles  of  the  face,  throbbing  pains  in  the 
forehead,  roaring  in  the  ears,  heat  and  redness  of  the  face,  great 
sensibility  to  cold  and  light,  pain  violent,  especially  on  one  side, 
generally  the  right,  pains  aggravated  by  the  slightest  noise  or 
movement,  and  also  by  the  warmth  of  the  bed.  Where  Bella- 
donna does  not  relieve,  but  seems  indicated,  give  Atropine. 

Bryonia.  — Especially  for  persons  who  are  subject  to  Rheuma- 
tism— face  red,  burning  and  hot,  swelling  on  one  side,  under  the 
eyes  and  at  the  root  of  the  nose,  pressing,  drawing,  burning  pains, 
worse  upon  pressure,  pains  in  the  limbs,  chilliness,  followed  by 
fever. 

Chamomilla.  ' — Especially  for  females  who  are  extremely  sensi- 
tive— pain  tearing  and  beating,  with  a sensation  of  numbness  in 
the  affected  part,  face  puffed  and  swollen,  one  cheek  red,  and  the 
other  pale,  shivering,  with  internal  heat. 

Colocynth. — Violent  rending,  darting  pains,  extending  to  the 
ears,  nose,  temples,  teeth,  and  all  parts  of  the  head,  principally 
upon  the  left  side,  pain  aggravated  by  the  slightest  touch. 

Arsenicum.  — Pains  return  at  certain  periods,  and  are  of  a burn- 


GENERAL  DISEASES. 


171 


ing,  character,  worse  at  night,  relieved  by  the  application  of  heat, 
great  anguish,  profuse  perspiration,  severe  pain  in  and  around  the 
eyes  and  temples. 

China.  — Especially  when  the  attack  appears  periodically,  great 
pain,  sensibility  of  the  skin,  aggravated  by  the  slightest  touch 
severe  pain  through  the  cheek  bones. 

Nnx  Vomica.  ~ Tearing,  drawing  pains,  swollen  cheeks,  pain 
coming  on  in  the  morning  after  rising,  increasing  until  noon,  and 
then  gradually  diminishing  until  night,  nausea,  vomiting,  constipa 
tion,  pain  aggravated  by  cold  air  and  drinks,  and  relieved  by  rest 
and  warmth. 

Platinum. — Stupefying  pressure  upon  the  cheek  bones,  with  a 
feeling  of  coldness,  pain  worse  at  night,  great  nervousness  and 
melancholy. 

Spigelia. — Jerking,  tearing,  burning,  and  pressure  in  the  cheek 
bones,  worse  on  touch  or  motion,  pains  coming  on  at  a certain  time 
in  the  day,  worse  on  stooping. 

Coffea.  — Great  irritability  of  the  mind  and  body,  great  sensibil- 
ity, excessive  painfulness  in  the  affected  part. 

Pulsatilla.  — For  females,  especially  when  connected  with 
uterine  derangements,  painful  sensitiveness  of  one  side  of  the  face, 
with  shivering. 

Mercurius.  — Tearing  and  shooting  pains  on  one  side  from  the 
temple  to  the  teeth,  worse  at  night,  and  in  the  warmth  of  the  bed, 
nightly  perspiration,  too  much  saliva  in  the  mouth,  sleeplessness. 

Phosphorus.  — Tearing  pains  in  the  left  side,  worse  on  moving  the 
muscles  of  the  face  in  eating. 

As  an  external  application  either  cold  or  warm  water,  as  best 
suits  the  patient,  will  be  found  beneficial.  Great  relief  may  some- 
times be  obtained,  by  bathing  the  affected  part,  with  a mixture  of 
six  drops  of  the  Tincture  of  Aconite,  to  six  tablespoonfuls  of 
water. 

Administration  of  Remedies.  — Of  the  remedy  chosen,  dissolve 
twelve  globules  in  twelve  teaspoonfuls  of  water.  Of  this  solution, 
give  a teaspoonful  every  fifteen  minutes,  half  hour,  or  two  hours, 
according  to  the  urgency  of  the  case.  As  the  patient  grows  better, 
lengthen  the  intervals  to  four,  six,  eight,  or  ten  hours. 

Diet.  — Coffee  and  green  tea  should  be  avoided  by  persons  subject 
to  Neuralgia,  and  care  should  be  taken  not  to  eat  food  which  is 
known  to  disagree,  or  is  proved  to  be  indigestible. 

ALLOPATHIC. 

Laudanum,  or  Paregoric,  applied  on  a cloth  covered  by  oil  sn&, 
to  prevent  evaporation  and  laid  upon  the  part,  is  an  efficient  local 
remedy.  Mustard  plasters  will  sometimes  relieve.  Ointment  of 


172 


OUR  FAMILY  PHYSICIAN. 


Veratrea,  in  the  proportion  of  twenty  grains  to  one  ounce  of  Lard 
may  be  used  in  severe  cases. 

The  following  is  recommended : 

Distilled  Water,  .....  2 ounces. 

Valerianic  Acid,  .....  l ounce. 

Subcarbonate  of  Ammonia,  enough  to  neutralize  the  Acid. 

Add  Alcoholic  Extract  of  Valerian,  - * 2 scruples. 

Give  a teaspoonful  three  times  a day. 

Or  this  : 

Sulphate  of  Morphine,  • - • -2  grains. 

Cyanide  of  Potassium,  ....  4 “ 

Extract  of  Valerian,  • • * - 4 “ 

Make  into  twenty-four  pills.  Dose  one  pill  three  times  a day. 


Or  this  : 


Extract  of  Hyosciamus,  - - • ^ drachm. 

Sulphate  of  Morphine,  3 grains. 

Strychnine,  .....  2 “ 

Pulverized  Cayenne,  drachm 

Sulphate  of  Zinc,  * • - - 15  grains. 


Make  thirty  pills.  Dose  one  pill  four  times  a day. 


Sometimes  the  inhalation  of  Ether,  or  Chloroform,  is  resorted  to 
for  the  relief  of  the  intense  pain.  When  the  neuralgia  is  caused  by 
some  disease  of  the  bowels,  which  is  known  by  the  coated  tongue, 
loss  of  appetite,  and  constipation,  give  the  following  : 

Extract  of  Colocynth,  - - - * -£  drachm 

Compound  Galbanum  pill,  - - 1 u 

Croton  Oil,  ......  1 drop. 

Mix  into  pills  of  five  grains  each,  and  take  one  at  bed  time. 


The  following  ointment  is  highly  recommended  : 

Spirits  of  Hartshorn,  ounces. 

Sulphuric  Ether,  ....  “ 

Spirits  of  Turpentine,  ounce. 

Sweet  Oil,  ......  £ “ 

Oil  of  Cloves,  -£■  il 

Chloroform,  - 1 “ 

Mix  well,  in  an  eight  ounce  bottle,  keeping  the  bottle  tightly 
closed,  with  a stopper  of  ground  glass,  and  in  a dark  place, 
wrapped  in  thick  paper  or  cloth,  as  light  tends  to  destroy  its 
efficacy.  This  prescription  is  highly  recommended  for  headache, 
sprains,  etc. 


GENERAL  DISEASES. 


173 


The  following  liniment  will  be  found  effectual  in  some  cases  : 

Extract  of  Aconite,  ....  1 scruple. 

Soap  Liniment,  * - - - 1 ounce. 

.Compound  Camphor  Liniment,  * - 1 ounce. 

Mix. 


ECLECTIC  AND  HERBAL. 

The  following  is  recommended  : 

Sulphate  of  Quinine,  * - - - 20  grains. 

Elixir  of  Vitriol, 1 drachm. 

Dissolve  the  Quinine  in  the  Elixir  and  add  : 

Tincture  of  Black  Cohosh,  - - - 14  drachms. 

Mix,  and  give  twenty  drops  in  a tablespoonful  of  water,  everj 
two  hours. 

Hot  fomentations  of  Hops  applied  to  the  effected  part,  generally 
afford  relief.  Hot  drops,  which  can  be  obtained  at  any  drug  store, 
sometimes  alleviate.  Powdered  root  of  Valerian  is  sometimes  an 
excellent  remedy  — a teaspoonful  once  in  two  hours.  Some  cases 
may  be  relieved  by  applying  the  Compound  Tar  Plaster  behind  the 
ears,  the  following  being  taken  at  the  same  time  : 

Sal  Ammoniac,  (finely  powdered)  - - 2 drachms. 

Prussiate  of  Iron,  - - - * - 8 grains. 

Sulphate  of  Quinine,  4 “ 

Camphor,  - • - - - 2 “ 

Mix.  Rub  together  thoroughly.  Divide  into  four  powders. 
Dose,  a powder  every  two  or  three  hours,  according  to  the  severity 
of  the  attack. 

The  following  will  be  found  beneficial : 

Chloroform,  1 ounce. 

Tincture  of  Aconite,  - - • 1 “ 

Tincture  of  Camphor,  1 “ 

Laudanum,  - - - - - 1 u 

Mix.  Rub  over  the  affected  parts  two  or  three  times  a day. 


Freckles. 

Freckles  are  a discoloration  of  the  skin  caused  by  exposure  to 
the  sun,  and  are  situated  in  the  middle  and  outer  membranes  of 
the  skin.  Before  using  any  other  application,  it  is  well  to  soften 
the  surface  by  means  of  some  mild  Balsam,  or  paste,  and  as  such, 
the  following  is  recommended  : 


174 


OUR  FAMILY  PHYSICIAN. 


Honey,  ......  2 ounces. 

Purified  Wax,  1 ounce. 

Litharge,  ‘ - • • - - “ 

Myrrh,  - - - - i - \ “ ~ 

Mix  well  over  a slow  fire.  Perfume  with  Cologne,  Oil  of  Roses, 
or  whatever  may  be  most  agreeable. 

After  the  surface  of  the  skin  has  been  softened,  the  following 
may  be  used : 

Bitter  Almonds,  .....  1 ounce. 

Barley  Flour,  - - • 1 “ 

Mix  with  a sufficient  quantity  of  Honey  to  form  a smooth  paste 
with  which  anoint  the  face  at  night. 

Or  the  following  may  be  used : 

Lemon  Juice,  2 ounces. 

Powdered  Borax,  - - - * - £ drachm. 

Sugar,  -------  1 “ 

Mix.  Let  the  mixture  stand  in  a glass  bottle  for  a few  days, 
until  the  liquor  is  fit  for  use.  Rub  on  the  face  two  or  three  times 
a day. 

A mixture  of  three  parts  of  Cologne  and  one  part  of  Oxalic 
Acid,  is  sometimes  used. 

The  following  was  made  use  of  by  the  celebrated  Madame  De 
Maintenon  : 


Venice  Soap,  - 

1 ounce. 

Lemon  Juice,  ..... 

• i “ 

Oil  of  Bitter  Almonds,  .... 

i “ 

De-liquidated  Oil  of  Tartar, 

■ l “ 

Oil  of  Rhodium,  ..... 

3 drops. 

Paralysis  of  the  Face  and  Jaw. 

This  is  generally  associated  with  paralysis  of  the  other  parts  of 
the  body,  either  partial  or  total,  and  should  be  treated  as  general 
paralysis.  For  treatment,  see  Palsy,  Section  IY,  Miscellaneous 
Diseases. 

Locked  Jaw,  (Trismus.) 

This  is  a dangerous  affection,  and  consists  in  the  contraction  of 
he  whole  or  a part  of  the  muscles  of  the  body.  When  the  body 
a bent  forward,  it  is  called  JEmprosthotonos . When  the  body  is 


GENERAL  DISEASES. 


175 


curved  backward,  it  is  termed  Opisthotonos , and  when  to  one  side, 
Pleurosthotonos . When  it  is  confined  to  the  muscles  of  the  jaw,  it 
is  called  Locked  Jaw,  or  Trismus. 

Symptoms.  — Trismus  sometimes  comes  on  suddenly  and  very  vio- 
lently, or  approaches  gradually.  Usually  the  first  symptoms  are, 
a slight  sensation  of  stiffness  in  the  back  of  the  neck,  which  increases 
so  as  to  render  any  motion  of  the  head  difficult  and  painful,  inabil- 
ity to  open  the  mouth  easily,  the  jaws  close  gradually,  but  with 
great  firmness,  tightness  over  the  chest,  severe  pain  in  the  breast 
bone  shooting  even  into  the  back,  uneasy  sensation  at  the  root  of 
the  tongue,  spasms  at  the  pit  of  the  stomach  and  in  the  muscles 
of  the  abdomen,  abdomen  feeling  hard,  the  suffering  is  sometimes 
frightful  to  contemplate,  face  pale,  brows  contracted,  forehead 
wrinkled,  eyes  fixed,  nostrils  dilated,  corners  of  the  mouth  drawn 
in  and  teeth  exposed,  features  fixed  in  a sort  of  a horrible  grin, 
breathing  slow  and  difficult,  pulse  feeble  and  frequent,  the  intel- 
lect, however,  remaining  clear  and  unaffected.  The  fatal  termina- 
tion of  the  disease  is  due  partially  to  suffocation,  and  partially  to 
exhaustion. 

Causes.  — Mental  affections,  exposure  to  cold  and  damp,  local 
injuries  as  cuts  and  wounds,  especially  of  the  soles  of  the  feet  and 
palms  of  the  hands  ; foreign  bodies  remaining  in  a wound  : wounds 
made  by  splinters,  pieces  of  glass  and  nails,  are  very  likely  to 
cause  Locked  Jaw,  on  account  of  the  foreign  bodies  pressing  on  a 
branch  of  the  nerve. 

TREATMENT.  ALLOPATHIC. 

A tablespoonful  of  Brandy  for  an  adult,  every  two  or  three  hours, 
together  with  milk,  and  beef-tea,  a grain  of  Opium  also  being  given 
every  three  or  four  hours.  Chloroform  or  Ether,  taken,  into  the 
stomach,  or  inhaled  are  valuable  remedies.  Costiveness  may  be 
removed  by  one  or  two  drops  of  Croton  oil,  administered  in  a tea- 
spoonful of  gruel.  Immerse  the  patient  in  a hot  bath,  give  an 
injection  of  an  ounce  of  Castor  oil,  or  the  same  quantity  of  Tur- 
pentine, and  on  removing  from  the  bath,  a dose  of  about  one  drachm 
of  Laudanum,  should  be  given.  Extract  of  Indian  Hemp  proves 
beneficial  in  some  cases,  a dose  of  three  grains  every  two  01  three 
hours. 


176 


OUR  FAMILY  PIIYSICIA N. 


ECLECTIC  AND  HERBAL. 

Dr.  King  recommends  the  administration  of  a half  a tablespoou- 
ful  of  the  Compound  Tincture  of  Lobelia,  and  Capsieum,  poured 
slowly  into  the  corner  of  the  mouth,  the  dose  being  repeated  every 
five  minutes  until  the  patient  is  able  to  swallow  — at  the  same 
time  giving  an  injection  of  a half  an  ounce  each  of  water  and  the 
above  Tincture,  repeated  every  ten  or  twenty  minutes. 

When  the  patient  is  able  to  swallow,  a large  dose  of  Compound 
Powder  of  Jalap,  should  be  given. 

Where  the  Locked  Jaw  is  caused  by  wounds  of  the  soles  of  the 
feet,  or  palms  of  the  hands,  the  wound,  if  healed  must  be  laid  open 
with  a sharp  knife.  Wounds  to  these  parts  of  the  body,  should 
never  be  allowed  to  heal  from  the  top,  but  should  always  be  in- 
duced to  heal  from  the  bottom,  and  they  may  be  made  to  do  so,  by 
burning  them  with  Nitrate  of  Silver,  until  a running  sore  is 
produced. 

A strong  Tincture  of  Lobelia,  and  Cayenne,  two  parts  of  Lobelia 
to  one  of  Cayenne,  may  be  given  in  tablespoonful  doses.  The 
same  remedies  may  be  used  as  injections.  As  soon  as  the  spasm  is 
overcome,  the  patient  should  be  allowed  to  drink  freely  of  a decoo 
tion  of  the  Nervine  root. 

HOMEOPATHIC. 

If  the  Locked  Jaw  is  caused  by  a wound,  the  wound  should  oe 
enlarged,  and  poulticed  with  bread  and  milk,  or  flaxseed. 

Arnica.  — In  'the  beginning,  externally  as  a wash,  and  internalb 
a dose  of  four  globules  or  one  drop,  every  two  hours. 

Belladonna  or  Lachesis. — If  the  spasms  increase,  give  these  in 
alternation,  in  the  same  dose  and  time  as  Arnica. 

Ilyosciamus  and  Opium.  — If  no  improvement  takes  place  after 
twelve  hours. 

Nux  Vomica.  — Especially  when  the  spasms  are  frequent  and 
short,  and  the  patient  perfectly  conscious,  cramp-like  pains  in  the 
region  of  the  stomach. 

Stramonium.  - — Where  there  is  contraction  of  the  thumbs  and 
fingers,  wild  and  fixed  look,  painful  and  difficult  breathing  and 
swallowing.  Give  in  alternation  with  Ilyosciamus  or  Cicuta. 

Secale. — The  patient  feels  worse  in  the  warmth. 

Rhus  and  Ignatia.  — In  alternation,  when  the  body  is  bent  back 
ward  in  the  form  of  an  arch.  Administer  the  same  as  the  other 
remedies. 

HYDROPATHIC. 

The  application  of  water  is  of  great  use  in  this  complaint.  The 
patient  should  be  placed  in  the  bath-tub  of  cold  water;  and  rubbed 
well  for  a long  time  ; then  place  in  bed,  and  rub  dry  with  dry 


GENERAL  DISEASES. 


177 


woolen  cloths.  If  no  change  takes  place  in  an  hour  or  two,  these 
processes  should  be  repeated. 

Dr.  Colby,  of  Massachusetts,  recommends  the  water  being  used 
as  follows  : the  water  at  a freezing  point,  should  be  poured  over 
the  patient  from  a pitcher,  at  the  rate  of  a bucket-full  every  five 
minutes,  continued  for  half  an  hour.  At  the  end  of  this  time  the 
patient  should  be  wiped  dry  with  a towel,  wrapped  in  flannel, 
placed  m oed,  and  allowed  to  remain  there  for  two  or  three  hours, 
when  free  perspiration  is  produced,  after  which  sponge  all  over 
with  cold  water. 

Note.  — The  treatment  of  this  disease  should  never  be  underta 
fcen  Dy  any  but  a competent  physician,  if  one  can  be  procured. 


ITS 


OUR  FAMILY  PHYSICIAN. 


CHAPTER  IX. 

Diseases  of  the  Teeth,  Gums,  and  Mouth. 

Toothache,  — ( Odontalgia.) 

THIS  troublesome  affection  is  unfortunately  too  well  known  to 
need  description.  Some  are  hereditarily  disposed  to  it ; while 
others  suffer  from  it  on  account  of  exposure,  or  it  may  be  rheum- 
atic in  its  origin,  and  also  arise  from  decay  of  the  teeth,  and  from 
abuse  of  coffee,  or  Calomel.  Generally,  however,  it  is  caused  by 
an  affected  tooth.  The  nerve  of  the  tooth  becomes  exposed  by  the 
falling  away  of  the  substance  of  the  tooth,  when  the  air  and 
foreign  bodies  coming  in  contact  with  it,  produce  that  irritation 
which  is  so  very  painful.  It  may  also  be  caused  by  the  inflamma- 
tion of  the  membrane  covering  or  surrounding  the  teeth,  the 
Periosteum ; or  from  pressure  in  grinding,  or  gnashing  the  teeth  ; or 
may  be  caused  by  some  tooth  being  elevated  above  the  rest,  and 
being,  therefore,  the  more  strongly  pressed  upon  by  the  teeth 
opposite. 

TREATMENT. ALLOPATHIC. 

Toothache  may  be  quieted  by  placing  in  the  cavity  of  the  tooth, 
a piece  of  cotton  moistened  with  a drop  of  the  Oil  of  Cloves,  or 
Oil  of  Cajupet,  or  a drop  of  Creosote.  The  Creosote  should  not 
be  allowed  to  run  into  the  mouth  if  possible. 

The  following  is  highly  recommended : 

Carbolic  Acid, 2 drachms. 

Collodion, * 1 drachm. 

A gelatinous  mass  is  thrown  down,  a small  particle  of  which 
inserted  in  the  cavity  of  the  aching  tooth,  will  give  immediate 
relief. 

When  the  toothache  i9  in  consequence  of  decay  of  the  teeth,  it 
may  be  removed  by  holding  in  the  mouth,  Brandy,  Whiskey,  Rum, 
or  diluted  Tincture  of  Cayenne,  or  by  an  external  application  of 
Laudanum,  and  mustard  plasters,  or  blisters  behind  the  ears,  or  by 


GENERAL  DISEASES. 


179 


hops  steeped  in  Alcohol,  Alum  and  Salt,  in  equal  parts  pressed 
firmly  into  the  cavity  will  often  relieve  ; and  so  too,  will  sometimes 
a small  piece  of  cotton  dipped  in  Morphine,  and  pressed  into  the 
cavity,  care  being  taken  not  to  swallow  any  of  the  Morphine. 

The  liniment  recommended  for  headache,  sprains,  etc.,  under 
“ Neuralgia,”  Chap.  8,  will  be  found  good,  as  an  external  applica 
tion. 


ECLECTIC  AND  HEBBAL. 

The  following  is  recommended : 

Alum,  finely  powdered,  ....  4 drachms. 

Nitric  Ether, 14  “ 

Mix  together,  and  apply  on  cotton  to  the  tooth. 

Or  this : 

Oil  of  Cloves,  .....  1 drachm. 

Oil  of  Cajupet, 1 “ 

Oil  of  Amber, 1 il 

Powdered  Camphor,  • - - • 1 w 

Mix  and  apply. 

Or, 

Camphor,  ......  4 drachms. 

Chloroform, 2 “ 

Water  of  Ammonia,  ....  1 drachm. 

Mix,  and  use  like  the  preceding.  A pill  made  of  Gum  Camphor 
and  Opium,  inserted  into  the  tooth,  will  seldom  fail  to  relieve. 

HOMEOPATHIC. 

Aconite.  — When  there  is  a feverishness,  with  great  anxiety  and 
restlessness,  violent  throbbing,  beating  pain,  disease  caused  by  cold, 
accompanied  by  heat  of  the  face,  redness  of  the  cheeks,  swelling 
of  the  face.  When  this  remedy  relieves,  but  only  for  a short  time, 
follow  with  Belladonna  or. China. 

Arnica.  — When  the  pain  is  caused  by  mechanical  injuries,  as  by 
extraction  or  plugging.  Arnica  may  be  used  as  a lotion,  one  part 
of  the  Tincture,  to  five  or  six  parts  of  water,  a linen  cloth  being 
dipped  in  the  lotion  and  applied  to  the  injured  part. 

Belladonna.  — When  there  is  a sensation  of  ulceration  in  the 
teeth,  drawing,  tearing,  shooting,  cutting  pains  in  the  teeth,  face, 
and  ears,  worse  in  the  evening  after  lying  down,  gums  hot  and 
swollen,  pain  aggravated  in  the  open  air,  or  on  touching  cold  or 
warm  food  to  the  teeth,  heat  and  redness  of  the  face,  worse  at 
night. 

Bryonia.  — Drawing,  jerking  toothache,  with  a sensation  as 


180 


OUK  FAMILY  PHYSICIAN. 


though  the  tooth  were  loose  and  too  long,  or  for  toothache  caused 
by  wet  weather,  when  the  pain  is  worse  upon  holding  cold  water 
in  the  mouth.  This  follows  well  after  Chamomilla  and  Mercury, 
and  may  also  be  given  in  alternation  with  Rhus,  when  the  tooth- 
ache is  caused  by  wet  weather,  or  rheumatic  attacks. 

Chamomilla.  — Violent  jerking,  drawing,  shooting  pains,  worse 
at  night  when  the  patient  is  in  bed,  swelling  and  redness  of  the 
cheeks,  or  one  cheek  red  and  the  other  pale,  swelling  of  the  gums, 
enlargement  of  the  glands  under  the  lower  jaw,  pains  worse  after 
drinking  anything  hot,  particularly  after  drinking  coffee. 

Coffea.  — Violent  pains  during  which'  the  patient  is  utterly  dis- 
tracted, trembling,  given  to  weeping,  tossing  about,  and  agitated. 
This  may  be  given  in  alternation  with  Aconite. 

Mercurius.  — Pains  in  hollow  teeth,  pains  at  the  roots  of  the 
teeth,  shooting  pains  passing  through  sides  of  the  face  to  the  ears, 
pains  aggravated  by  cold  food  or  drink,  swelling  and  inflammation 
of  the  gums. 

Calcarea.  — Toothache  in  pregnant  females,  pains  in  hollow  teeth 
or  around  loose  stumps,  throbbing,  drawing  and  breaking  pains, 
gums  swollen,  sore  and  bleeding  easily,  pains  caused  by  taking  cold, 
noise  increasing  the  pain. 

Carbo  Vegetabilis . — Drawing,  tearing,  or  throbbing  pains  in  the 
teeth,  gums  bleed  easily,  feeling  of  looseness  and  ulceration  of  the 
teeth,  pains  worse  in  damp  weather,  and  when  hot,  cold,  or  salt 
things  are  put  into  the  mouth. 

Pulsatilla . — More  suitable  for  young  girls,  or  persons  of  mild 
disposition  ; shooting  pains  extending  to  the  ear  on  the  affected 
side,  jerking  pain,  as  though  the  nerve  were  tightened  and  then 
suddenly  relaxed,  particularly  on  the  left  side,  pain  increased  by 
warmth  or  rest,  better  when  walking,  especially  in  the  open  air, 
toothache  accompanied  by  earache  and  headache. 

Nux  Vomica.  — For  persons  who  lead  a quiet  life,  or  who  indulge 
in  coffee  or  ardent  spirits  ; gums  swollen  and  painful,  beating  as  of 
an  abscess,  throbbing,  burning,  or  gnawing  pain  through  the  teeth 
and  gums,  aggravated  by  eating,  or  exposure  to  the  open  air.  This 
may  be  given  in  alternation  with  Mercury. 

Hyosciamus . — Pains  violent,  and  tearing,  extending  from  the 
cheek  to  the  forehead,  after  taking  cold  in  the  cold  air,  face  red 
and  hot,  clinching,  of  the  teeth,  great  nervous  excitement,  eyes 
red,  brilliant,  and  looking  about  wildly. 

Ignatia.  — For  a person  of  very  sensitive  nature;  sensation  as 
though  the  teeth  were  broken,  also  when  the  aching  is  caused  by 
taking  cold,  by  mental  suffering,  when  the  pain  is  worse  after  drink- 
ing coffee,  or  smoking  tobacco,  after  lying  down,  or  in  the  morning 
on  waking. 


GENERAL  DISEASES. 


181 


Hepar  Sulphur . — Suitable  for  persons  who  have  taken  much 
Mercury  ; when  the  toothache  precedes  the  formation  of  gumboils. 

Rhus.  — Particularly  for  rheumatic  toothache  in  wet  weather, 
accompanied  by  pains  in  the  limbs  and  head,  shivering  and  restless- 
ness, tearing,  shooting,  tingling  pains,  worse  in  the  open  air,  or  at 
night,  when  the  patient  is  very  restless,  the  pain  being  relieved  by 
heat  applied  externally.  This  remedy  may  be  given  in  alternation 
with  Bryonia. 

Creosotum.  — For  pain  in  decayed  teeth,  accompanied  by  swelling 
and  congestion  of  the  gums. 

Sulphur. — Tearing,  beating  pains,  accompanied  by  a swelling 
of  the  cheek,  congestion  and  beating  of  the  head,  shooting  pains 
in  the  ears,  toothache  worse  in  the  evening  or  night  when  in  the 
warmth  of  the  bed,  or  when  exposed  to  the  open  air,  or  currents 
of  air. 

Staphysagria.  — Pains  caused  by  decayed  teeth  and  stumps,  and 
extending  to  the  ears  and  head,  cheeks  swollen,  but  not  hot,  pain 
excited  by  breathing  in  cold  air,  or  by  cold  drinks,  worse  during  or 
after  eating,  or  on  touching  the  teeth,  or  only  after  midnight. 

Administration  of  Remedies.  — Dissolve  of  the  chosen  remedy, 
twelve  globules  in  twelve  teaspoonfuls  of  water.  Give  a teaspoon- 
ful every  fifteen  minutes,  half  hour,  or  two  hours,  according  to  the 
urgency  of  the  symptoms. 

Sometimes  when  the  pain  is  caused  by  a decayed  tooth,  it  is  a 
good  pian  to  insert  a small  portion  of  Arsenic  in  the  cavity,  and 
this  may  be  done  by  wetting  a very  small  quantity  of  cotton  attach- 
ed to  the  point  of  a little  hook,  and  laying  upon  one  side  of  the 
cotton  a slight  portion  of  White  Oxide  of  Arsenic,  which  will 
most  instantly  relieve  the  pain. 

Dec  a y of  the  Teeth,  (Caries.) 

Decay  of  the  teeth  is  not  confined  to  any  age,  sex,  or  condition 
of  society,  bu  t found  among  all  classes. 

Causes.  — Hot  drinks  or  food  coming  in  contact  with  the  teeth, 
and  causing  the  enamel  to  crack,  luxurious  living,  through  which 
the  general  health  is  deranged,  whereby  unhealthy  secretions  of 
the  mouth  result  ; by  food  lodged  between  the  teeth,  which  should 
never,  in  any  case  be  allowed,  but  should  be  carefully  guarded 
against  by  cleansing  the  teeth  after  every  meal.  Mercury  when 
taken  in  large  quantities  will  cause  decay,  and  tobacco  is  also  inju- 
rious to  the  teeth.  The  collection  of  tartar  on  the  teeth,  (derived 


182 


OAK  FAMILY  PHYSICIAN* 


from  the  saliva,  and  which  though  deposited  on  the  teeth  in  a soft 
state  at  first,  soon  hardens,  and  becomes  brown  or  black,)  is  a fre- 
quent cause. 

TREATMENT. 

The  following  are  some  preparations  which  may  be  used  for 


cleaning  the  teeth : 

Prepared  Chalk, 

2 ounces. 

Pulverized  Gum  Myrrh, 

6 scruples. 

Camphor, 

Water,  a sufficient  quantity. 

10  grains. 

Another, 

Prepared  Chalk, 

2 ounces. 

Pulverized  Orris  Root,  - 

2 “ 

Pulverized  Pumice  Stone, 

1 ounce. 

Of  any  of  the  essential  oils  a few  drops. 

The  following  is  recommended  by  Dr.  C.  H.  Cleveland,  as  a most 


excellent  wash  for  the  teeth : 

Tincture  of  Myrrh,  1 ounce. 

Tincture  of  Peruvian  Bark,  - - 1 “ 

Tincture  of  Gentian  Root,  ...  1 u 

Aqua  Ammonia,  .....  l drachm. 
Pure  water,  .....  ^ pint. 


Mix,  and  use  with  a brush,  after  each  meal. 

A good  tooth  powder,  is  made  of  equal  parts,  of  Powdered 
Chinchona,  Golden  Seal,  Orris  Root,  and  Charcoal,  compounded 
with  a little  Honey. 

Common  Castile  soap  is  excellent  for  the  teeth,  and  so  also  is 
common  table  salt,  used  every  morning  and  evening.  This  last 
especially  tends  to  preserving  the  teeth,  and  makes  the  mouth 
sweet  and  pleasant. 

Offensive  Breath. 

Offensive  breath  is  induced  by  a variety  of  causes,  among  which 
are  defective  teeth,  perverted  secretions  of  the  glands  of  the  mouth, 
neglecting  to  clean  the  teeth,  by  tartar,  or  bits  of  food  allowed  to 
remain  in  the  mouth.  The  most  obstinate  cases  result  from  imper- 
fect digestion,  caused  by  derangement  of  the  liver,  or  other  organs. 


GENERAL  DISEASES. 


183 


TREATMENT. 

If  caused  by  decayed  teeth,  they  should  be  removed,  or  if  not  too 
far  gone  they  should  be  plugged.  The  mouth  should  be  freely 
cleansed  with  Castile  soap  and  water.  If  the  secretions  of  the 
mouth  are  the  cause,  the  mouth  should  be  washed  several  times  a 
day  with  eight  or  ten  drops  of  Chloride  of  Soda  in  a tumbler  of 
water.  If  the  skin  be  dry  and  cracked,  it  should  be  well  sponged 
once  or  twice  a day  with  soft  water,  to  which  a small  quantity  of 
Whiskey  may  be  added. 

The  following  are  some  preparations  for  the  purpose  of  securing 
a fragrant  breath  : 

Powdered  Myrrh,  * • 2 ounces 

Peruvian  Bark,  - • - * - 8 u 

Oil  of  Cinnamon, 32  drops. 

Oil  of  Cloves,  • • • 32  drops. 

Prepared  Chalk,  . 4 ounces. 

Orris  Root,  - 8 ounces 

Rose-pink,  3 ounces 

Mix  well. 

Or  this  : 

Gum  Catechu, 2 ounces. 

White  Sugar, 4 ounces. 

Orris  Powder.  1 ounce. 

Make  into  a paste,  or  mucilage,  and  add  two  drops  of  Veroli. 

HOMEOPATHIC. 

Mercury . — If  caused  by  inflammation  of  the  gums,  and  glands 
of  the  neck. 

Arnica,  Nux  Vomica  Belladonna , Silicea,  or  Sulphur , if  there  is 
no  particular  cause  for  it,  or  if  it  appears  only  in  the  morning. 

Chamomilla , Nux  Vomica,  or  Sulphur , if  it  is  noticed  after  meals 

Pulsatilla , or  Sulphur,  if  in  the  evening,  or  at  night. 

Administration  of  Remedies.  — Give  a dose  of  six  globules  every 
evening  for  one  or  two  weeks,  before  changing  to  another  remedy. 
If  the  odor  is  occasioned  by  the  eating  of  onions,  or  garlic,  it  may 
be  destroyed  by  taking  a little  wine,  eating  a pear,  or  boiled  beets. 

Bad  Taste  in  the  Mouth. 

This  may  be  caused  by  many  diseases,  but  is  found  most  fre- 
quently in  fevers  and  disordered  stomach,  for  the  treatment  of 
which,  see  the  disorders  from  which  it  originates.  Sometimes,  how- 
ever, it  appears  as  a solitary  symptom. 


184 


Om  FAMILY  PHYSICIAN, 


TREATMENT.  — - HOMEOPATHIC. 

Cuprum , Rhus  and  Cocculus.  — If  the  taste  is  coppery. 

Lachesis , Mercury  and  Nux  Vomica . — If  the  taste  is  metallic. 

Arnica , Bryonia , Sulphur,  Rhus,  Mercury  and  Pulsatilla.  — If  the 
taste  is  putrid. 

China,  Pulsatilla  or  Mercury. — If  the  taste  is  earthy. 

Bryonia,  Pulsatilla,  Arnica  and  Chamomilla.  — If  the  taste  is 
bitter. 

Mercury,  Pulsatilla  and  Sulphur.  — If  the  taste  is  sweetish. 

Mercury , Nux  Vomica,  Arsenic,  Tartar  Emetic  and  Carbo  Vegetabilis. 
— If  the  taste  is  saltish. 

Administration  of  Remedies.  — Take  one  dose,  (four  globules,)  ol 
the  remedy  selected,  twice  a day. 


Abscess  of  the  Gums,  (Gumboils.) 

Gumboils  are  small  abscesses,  preceded  by  inflammation,  and 
which  form  upon  the  gums.  They  are  produced  by  decayed  teeth, 
cutting  of  the  teeth,  and  other  causes. 


TREATMENT.  ALLOPATHIC. 

The  mouth  may  be  washed  two  or  three  times  a day  with  salt 
and  water,  in  the  proportion  of  a teaspoonful  of  salt  to  half  a pint 
of  water. 


The  bowels  should  be  regulated  by  the  following , 

Powdered  Rhubarb,  15  grains. 

Magnesia,  - * - - - 15  u 

Peppermint  Water,  10  drachms. 

Laudanum,  ......  15  minims. 

Sal  Volatile,  ...  20  “ 

Syrup  of  Ginger,  .....  l drachm. 

Tincture  of  Rhubarb,  ....  1 “ 

Mix,  and  take  at  one  dose. 


If  the  gumboils  are  caused  by  a decayed  tooth,  the  offending 
tooth  should  be  extracted. 


HOMEOPATHIC. 

Aconite  and  Belladonna.  — In  alternation  (turn  about),  where 
th^re  is  considerable  inflammation  and  swelling,  with  heat  and  pain, 
a dose  every  two  hours,  until  relieved. 

Mercury.  — When  there  is  throbbing  and  beating  pain.  This 
may  be  given  in  alternation  with  Hepar  Sulphur. 


tfENEHAL  DISEASES. 


185 


$iiicea.-~-  When  the  preceding  remedies  have  failed  to  arrest  the 
progress  of  the  boil,  and  matter  has  already  formed. 

Aconite  and  Chamomilla.  — To  be  given  in  alternation,  when  the 
gumboils  arise  from  irritation  consequent  upon  cutting  wisdom 
teeth. 

Administration  of  Remedies.  — During  the  state  of  inflammation, 
the  remedies  may  be  given  as  often  as  once  an  hour,  and  from  that 
to  two  hours.  On  giving  Silicea  or  Calcarea,  give  a dose,  every 
night  and  morning. 


Inflammation  and  Swelling  of  the  Tongue,  ( Glossitis .) 

Glossitis  is  an  inflammation  of  the  substance  of  the  tongue. 
It  is  characterized  by  pain,  heat,  redness,  and  swelling,  with  either 
a dryness  of  the  mouth,  or  a profuse  flow  of  saliva.  It  may  be- 
come so  swollen,  that  the  mouth  is  entirely  filled,  whereby  swal- 
lowing and  speaking  are  very  much  interfered  with,  and  on  account 
of  which,  suffocation  may  be  threatened. 

Symptoms.  — Previous  to  the  pain  in,  and  swelling  of  the  tongue, 
the  patient  may  be  affected  with  chills,  loss  of  appetite,  disordered 
stomach,  dull  pains  in  the  head  and  back,  heat  of  the  skin,  rapid 
pulse,  throbbing  and  aching  pain  in  the  tongue. 

Causes.  — Direct  injuries,  as  from  scalding  drinks,  wounds  or 
bruises,  bites  or  stings  of  venomous  insects,  salivation  by  Mercury, 
small  pox. 

TREATMENT.  HOMEOPATHIC. 

Aconite.  — At  the  commencement  of  the  disease,  when  the  fever 
and  inflammation  are  severe,  attended  with  acute,  cutting  pain. 

Aconite  and  Arnica.  - — Where  the  inflammation  arises  from  some 
mechanical  injury.  Give  in  alternation  (turn  about),  every  hour, 
or  two  hours. 

Mercurius.  — This  is  the  principal  remedy  ,when  there  is  violent 
pain,  swelling  and  hardness,  the  tongue  red,  dry  or  moist,  pulse 
rapid  and  free,  breathing  difficult,  throbbing,  stinging  or  aching 
pains  in  the  tongue,  the  mouth  and  throat  filled  with  the  swollen 
organ,  worse  at  night,  rapid  sinking  of  strength. 

Belladonna. — Face  red,  eyes  bloodshot,  tongue  inflamed,  red, 
dry  and  swollen,  violent  beating  of  the  arteries  of  the  neck  and 
temples,  throbbing  pain  in  the  head,  skin  hot  and  dry,  eyes  sens! 


186 


OTO  FAMILY  PHYSICIAN. 


tive  to  light,  throbbing,  darting,  drawing  pains  in  the  tongue,  sea 
sation  of  suffocation. 

Mercurius  and  Belladonna.  — May  be  given  in  alternation,  if  either 
does  not  relieve  when  given  alone. 

Aurum  Muriaticum , Hydriodate  of  Potassa , Nitric  Acid  or  Hepar 
Sulphur.  — When  the  swelling  arises  from  use  of  Mercury. 

Administration  of  Remedies. — Dissolve  twelve  globules  of  the 
selected  remedy  in  twelve  teaspoonfuls  of  water,  and  give  a tea- 
spoonful every  hour,  two,  or  three  hours,  according  to  the  urgency 
of  the  symptoms. 

In  case  the  swelling  becomes  so  enormous  as  to  threaten  suffoca 
tion,  do  not  hesitate  to  take  a knife  and  make  an  incision  the  length 
of  the  tongue,  thereby  relieving  the  congestion  of  the  blood. 

Canker  of  the  Mouth,  ( Stomacace .) 

This  form  of  sore  mouth  is  generally  found  in  children,  of  from 
five  to  ten  years  of  age,  and  by  some  it  is  considered  contagious. 
It  is  an  inflammation  of  the  mucous  membrane  of  the  mouth,  on 
which  there  is  poured  out  a yellowish  fluid,  which  assumes  a very 
destructive  character  if  allowed  to  go  on,  causing  deep,  dark  sores. 

Symptoms.  — First,  pain  and  uneasy  sensation  in  the  gums,  which 
soon  become  hot,  dry  and  very  sensitive,  attended  with  languor, 
indisposition  to  play  or  move  about,  loss  of  appetite,  thirst,  gums 
becoming  swollen,  spongy,  and  bleeding  when  touched,  the  internal 
surface  of  the  cheeks  and  gums  are  spotted  with  patches  of  false 
membrane,  under  which  appear  ulcers.  In  some  cases,  the  false 
membrane  is  wanting,  the  ulcers  presenting  a greyish  or  livid  ap- 
pearance. If  the  disease  is  severe,  the  glands  situated  beneath 
the  jaw  become  swollen,  hard  and  painful,  the  breath  becoming 
very  offensive,  and  the  secretion  of  the  saliva  being  very  much 
increased.  Sometimes  the  teeth  may  be  loosened  and  fall  out. 
There  may  be  a copious  discharge  of  offensive  bloody  matter  from 
the  mouth,  and  the  breath  may  become  very  fetid,  almost  gangre- 
nous. The  movements  of  the  jaw  are  stiff,  and  swallowing  is  inter- 
fered with,  accompanied  with  sorenes.3  of  the  neck  and  throat. 
The  patient  loses  strength  rapidly,  and  becomes  very  much 
prostrated. 


GENERAL  DISEASES* 


3L8T 


TREATMENT . — ALLOPATHIC . 

When  the  bowels  are  confined  or  irregular,  a small  portion  of 
Calomel,  followed  in  the  course  of  a few  hours  b y a dose  of  Castor 
Oil,  may  be  given.  Chloride  of  Potassa  is  an  important  remedy  in 
this  disease.  Use  a wash  composed  of  three  grains  of  Chloride  of 
Potassa,  dissolved  in  sufficient  water,  and  sweetened.  This  may 
be  given  to  a child  three  years  old,  and  five  grains  to  a child  eight 
or  nine  years  old. 

When  the  ulcers  are  slow  in  healing,  they  may  be  washed  with 
a solution  of  Borax  and  water,  fifteen  grains  to  an  ounce  ; or  with 
Chloride  of  Lime,  or  weak  solution  of  Nitrate  of  Silver,  one  grain 
to  the  ounce. 

The  following  is  recommended  by  Dr.  Dewees  as  a wash  to  arrest 
the  ulceration  : 


Sulphate  of  Copper, 

Pulverized  Chinchona, 

Pulverized  Gum  Cassia,  - 

Honey,  ...... 

Water,  - 

10  grains. 

2 drachms. 

1 drachm. 

2 drachms. 

3 ounces. 

Mix.  The  ulcers  should  be  touched  with  this  twice  a day,  apply 
mg  with  a camels’-hair  pencil. 

The  following  is  an  excellent  wash  : 

Sulphate  of  Copper, 

Water,  ...... 

£ drachm. 
* 1 ounce. 

To  be  applied  twice  a day  to  the  ulcers. 
Or  this  : 

White  Vitriol,  .... 

Soft  Water, 

1 ounce. 

• 2 drachms. 

Mix,  and  add  : 

Honey,  ..... 

Tincture  of  Myrrh,  - 

2 drachma. 
- 2 “ 

Apply  twice  a day  to  the  ulcers. 

After  the  inflammation  is  subdued,  the  following  may  be  used 
White  Oak  Bark,  • - - - . l ounce. 

"Water, 1 pint. 

Boil  and  strain,  and  then  add  : 

Alum,  1 scruple. 

Apply  to  the,  ulcers  with  a soft  sponge,  several  times  a day. 


O0R  FAMILY  PHYSICUM. 


ECLECTIC  AND  HERBAL. 

The  mouth  should  frequently  be  washed  with  some  warm  &&- 
tringent  infusion  as  the  following  : 

Golden  Seal,  - - - - * - ) 

Geranium,  > equal  parts. 

Alum,  - * - • • - ) 

Or, 

An  infusion  of  Red  root,  Witch  Hazel  bark,  and  Geranium. 

Tincture  of  Chloride  of  Iron  is  valuable  as  a local  application  to 
the  ulcers.  If  the  child  be  weak,  Sulphate  of  Quinine,  or  wine 
may  be  given. 

HOMEOPATHIC. 

Mercury.  — This  remedy  is  indicated  in  almost  every  case,  and 
may  always  be  given  at  the  commencement  of  the  disease,  except 
when  it  is  caused  by  Mercury,  in  which  case,  give  Carbo  Yegeia* 
bilis,  Hepar  Sulphur,  or  Nitric  Acid. 

Nux  Vomica.  — Ulcers  putrid  and  painful,  swelling  of  the  gums,' 
there  being  fetid  ulcers  all  over  the  surface  of  the  mouth,  accom- 
panied by  constipation. 

Arsenicum. — Ulceration  of  the  margins  of  the  tongue,  with 
violent,  burning  pains,  gums  swollen,  and  easily  bleeding,  great 
restlessness,  and  a desire  to  drink  frequently. 

Capsicum . — Especially  for  persons  of  full  habit,  in  quiet  life, 
and  where  there  are  blisters,  or  vesicles  on  the  tongue,  together 
with  swelling  of  the  gums. 

Nitric  Acid.  — If  Mercury  does  not  relieve,  or  if  the  gums  are 
swollen,  looking  whitish,  and  bleeding  easily,  accompanied  with 
looseness  of  the  teeth,  salivation,  and  putrid  odor  from  the  mouth. 

Carbo  Vegetabilis.  — Ulceration  of  the  gums  and  tongue,  with 
profuse  bleeding,  accompanied  by  a burning  sensation,  and  excessive 
fetidness  of  the  ulcers. 

Sulphur.  — To  be  given  at  the  end  of  the  cure,  when  there  is 
swelling  of  the  gums,  together  with  beating  pain,  blisters  which 
burn  when  eating,  offensive  or  sour  smell  from  the  mouth,  consti- 
pation, or  green,  slimy  diarrhoea. 

As  a wash  use  cold  water,  or  sometimes  lemon  juice,  or  sage  tea; 
a weak  solution  of  brandy  and  water,  will  also  prove  beneficial. 

Administration  of  Remedies.  — Of  the  remedy  chosen  dissolve 
twelve  globules  in  twelve  teaspoonfuls  of  water,  and  give  a tea- 
spoonful every  two,  three,  or  four  hours,  according  to  the  violence 
of  the  symptoms. 


GENERAL  DISEASES. 


189 


Scurvy,  (a Scorbutus.) 

Scurvy  is  a disease  which  is  caused  by  a vitiated  state  of  the 
fluid  of  the  body,  tending  to  ulceration  and  decomposition  of  the 
solid  parts.  It  is  met  with  more  frequently  in  camps,  in  besieged 
cowns,  on  vessels  making  long  voyages,  and  in  fact  among  al) 
persons  who  are  deprived  of  fresh  provisions,  or  exposed  to  damp 
or  cold.  It  is  also  occasioned  by  long  continued,  or  constant  use 
of  salt  provisions,  salted  and  smoked  meat,  and  also  from  the  sup- 
pression of  accustomed  discharges,  as  the  menses. 

Symptoms.  — Generally  the  first  symptoms  are  softening,  ulcera- 
tion, bleeding,  and  swelling  of  the  gums,  which  become  spongy, 
producing  a fetid  breath.  The  limbs  begin  to  swell  and  there  is 
great  debility  of  both  the  mental  and  physical  powers,  with  fatigue 
on  the  slightest  exertion.  Dark,  purplish  spots  appear  on  various 
parts  of  the  body.  Bleeding  ensues  from  the  nose,  throat,  stomach, 
bowels,  etc.,  and  the  face  looks  lead-colored  and  bloated.  The  bowels 
are  constipated,  and  ulcers  appear  in  various  parts  of  the  body,  the 
joints  become  swollen  and  stiff.  The  skin  is  dry,  the  pulse  small 
and  feeble ; sometimes  old  wounds,  which  have  been  long  healed, 
break  out  afresh,  and  death  occurs  from  great  prostration,  from 
bloody  discharges,  diarrhoea,  etc. 

Causes.  — The  deprivation  of  vegetables,  containing  ingredients 
necessary  to  the  enjoyment  of  health,  any  causes  which  depress 
the  nervous  system,  exposure  to  the  cold  and  moisture,  want  of 
exercise,  uncleanliness,  and  excessive  fatigue. 

GENERAL  TREATMENT. 

The  causes  of  the  disease  should  be  removed  ; as  for  instance,  if 
produced  by  salt  provisions,  fresh  should  be  substituted.  The 
patient  should  be  allowed  plenty  of  fresh  fruits,  vegetables,  oranges, 
lemons,  cider,  spruce  beer,  sour  krout,  strawberries,  apples,  pine- 
apples, etc.  Potatoes,  however,  are  the  most  important  articles 
of  diet  in  connection  with  this  disease,  and  they  may  be  given 
either  simply  boiled,  or  eaten  raw  and  grated,  with  vinegar.  The 
solution  of  Citric  Acid  sweetened,  and  to  which  a little  wine  or 
porter  has  been  added,  may  be  substituted.  Vinegar,  made  by  dis- 
solving two  to  four  ounces  of  Nitre,  to  a quart  of  vinegar,  has  also 


190 


OUR  FAMILY  PHYSICIAN. 


proved  an  excellent  remedy.  Lime  juice  is  a most  important  arti- 
cle of  diet,  two  to  three  ounces  of  the  juice  mixed  with  the  proper 
amount  of  sugar,  being  given  daily.  Milk  and  beef  -tea  may  be 
given  when  the  patient  is  unable  to  eat  solid  food  on  account  of 
the  soreness  of  the  gums.  The  patient  should  remain  perfectly 
quiet,  as  sometimes  the  slightest  exertion  will  produce  a fatal 
result. 

ECLECTIC  AND  HERBAL. 

If  the  gums  should  ulcerate,  use  the  following  : 

Myrrh,  - - ...  1 ounce. 

Aloes,  ...  ....  i ^ 

Extract  of  Liquorice,  • - • - 1 “ 

Pulverize,  and  add  eight  ounces,  or  two  teacupfuls  of  hot  water. 
Mix,  and  when  cold,  pour  the  whole  into  a bottle,  and  add  one  pint 
good  brandy.  Let  the  mixture  stand  four  or  five  days,  and  strain 
through  flannel  ; use  three  or  four  times  a day  as  a wash.  If  there 
is  diarrhoea,  an  infusion  of  Blackberry  root,  or  Geranium  may  be 
given.  If  there  is  acidity  of  the  stomach,  Compound  Powder  of 
Rhubarb  and  Potassa,  may  be  given.  A cranberry  poultice  applied 
to  the  ulcers  will  be  found  beneficial.  If  there  are  pains  and  con- 
tractions of  the  limbs,  swelling  of  the  joints,  steam  the  body  ovei 
bitter  herbs,  and  use  stimulating  liniments. 

As  soon  as  the  patient  begins  to  recover,  a tonic  may  be  needed, 
as  the  following: 

Tincture  of  Muriate  of  Iron,  in  doses  of  twenty  or  thirty  drops, 
two  or  three  times  a day,  in  an  infusion  of  Golden  Seal,  Gentian, 
or  Quassia. 

HOMEOPATHIC. 

Mercury. — If  not  used  before,  for  the  following  symptoms:  red, 
spongy,  ulcerated,  and  easily  bleeding  gums,  accompanied  with 
burning  pains  at  night,  looseness  of  the  teeth,  with  fetid  smell  in 
the  mouth,  accompanied  by  ulcers,  profuse  discharge  of  offensive 
and  bloody  saliva,  dark,  red  urine,  great  exhaustion  and  debility. 

Carlo  Vegetabilis . — Particularly  in  persons  who  have  taken  too 
much  Mercury,  or  when  there  are  burning  ulcers  in  the  mouth, 
which  bleed  frequently,  and  discharge  an  acid,  fetid. matter. 

Arsenicum. — Ulceration  on  the  margins  of  the  tongue,  with 
violent,  burning  pains,  swollen,  and  easily  bleeding  gums,  great 
debility,  and  restlessness,  ulcers,  dark  and  livid,  skin  bluish,  cold, 
very  dry.  The  other  remedies  are  China,  Hamamelis,  Sulphuric 
Acid,  Secale,  and  Phosphorus. 

Administration  of  Remedies.  — Dissolve  twelve  globules  in  a tea- 
cupful of  water,  and  give  a teaspoonful  every  two,  four,  or  six 
hours. 


*5^. 


GENERAL  DISEASES. 


191 


ALLOPATHIC. 


Sometimes  a wash  of  the  solution  of  Tannic  acid,  or  Tincture 
of  Myrrh,  and  diluted  Glycerine,  will  be  found  excellent  for  the 
gums  ; or  Alum,  Brandy  and  water,  may  be  used. 

The  following  pills  may  be  given  : 

Blue  Pill,  ......  i scruple. 

Compound  Rhubarb  Pills,  * - - - 2 scruples. 

Mix,  and  divide  into  twelve  pills.  Dose,  one  or  two  occasionally. 

Tartrate,  or  Chlorate  of  Potassa,  dissolved,  in  the  proportion  of 
one  drachm  to  a pint  of  water,  may  be  taken  daily. 

As  tonics,  use  the  following : 


Decoction  of  Bark, 

Compound  Tincture  of  Bark, 

Syrup  of  Orange  peel,  - 
Dilute  Sulphuric  Acid, 

Mix.  Dose,  a tablespoonful  three  times 

When  the  bowels  are  costive,  Cream 
water,  and  drank  freely,  will  be  found  beneficial.  If  there  be 
looseness  of  the  bowels,  Morphine,  Laudanum,  Logwood  tea.  or 
Geranium,  may  be  suitably  prescribed. 

Quinine  is  an  excellent  remedy  in  this  disease,  and  may  be  given 
in  doses  of  one  or  two  grains,  two  or  three  times  a day. 


7 ounces. 

6 drachms. 

2 “ 

1 drachm. 

a day. 

of  Tartar  dissolved  in 


Salivation,  {Ptyalism.) 

This  is  a disease  caused  by  abuse  of  Mercury,  taking  cold,  or 
sometimes  accompanies  attacks  of  fever,  such  as  Scarlet  fever,  and 
it  sometimes  results  also  from  affected  teeth. 

Symptoms.  — Profuse  discharge  of  saliva,  glands  of  the  mouth, 
and  throat  swollen  and  inflamed,  attended  in  bad  cases  with 
looseness  or  falling  out  of  the  teeth,  ulceration  of  the  throat, 
gums  and  teeth,  swelling  of  the  tongue. 

TREATMENT.  HOMEOPATHIC. 

Flepar  Sulphur , Lachesis , Nitric  Acid , Belladonna , Opium)  and  Sul- 
phur.— When  salivation  has  been  produced  by  Calomel,  or  any 
preparation  of  Mercury. 

Mercury. — Wrhen  salivation  is  caused  by  taking  cold,  and  also 
when  there  is  a painful  swelling  of  the  glands  of  "the  mouth,  fetid 
discharge  from  the  mouth,  ulcers  on  the  insides  of  the  cheeks. 


192 


OUR  FAMILY  PHYSICIAN. 


Administration  of  Remedies.  — Dissolve  twelve  globu.es  in  twelve 
teaspoonfuls  of  water,  and  give  a teaspoonful  of  the  solution  once 
every  two,  three,  or  four  hours. 

As  a wash,  milk  and  water  may  be  used,  but  nothing  else. 

ECLECTIC  AND  HERBAL 

If  the  salivation  is  caused  by  Mercury,  the  patient  should  take 
Sulphur,  and  Cream  of  Tartar,  two  parts  of  the  first  to  one  of  the 
last.  Mix  with  a little  molasses  or  honey.  Dose,  a teaspoonful, 
two  or  three  times  a day. 

Sulphur  may  be  held  in  the  mouth,  so  as  to  come  in  contact  with 
the  part  affected.  Sprinkling  of  the  ulcers,  with  powdered  Red 
Chalk,  has  sometimes  proved  beneficial. 

As  a gargle,  use  the  following : 

Sage, 2 ounces. 

Privet  Leaves, 2 “ 

Golden  Seal, 2 “ 

Boil  in  two  pints  of  water,  strain  and  add  a teaspoonful  of  burnt 
Alum,  and  the  same  quantity  of  Borax. 

Difficulty  of  Speech  — Stammering. 

Stammering  consists  in  an  interrupted  articulation,  accompanied 
generally  with  more  or  less  straining  or  distortion  of  the  face,  am! 
is  sometimes  caused  by  malformation  of  the  tongue,  or  other  organs 
of  speech. 

The  cure  is  generally  possible,  and  sometimes  very  easy,  since 
the  difficulty  frequently  arises  from  an  effort  to  speak  while  draw- 
ing in  the  breath.  Therefore,  the  patient  should  begin  by  filling 
the  chest  well,  before  commencing  to  articulate,  and  then  slowly 
enunciate  one  word  after  another.  The  stammerer  should  beat 
time  after  every  word  uttered,  either  in  speaking  or  reading,  just 
as  if  singing.  If  this  does  not  remedy  the  hesitancy,  then  time 
should  be  beaten  for  every  syllable,  gradually  running  into  beating 
time  for  words,  and  then,  for  sentences.  This  course  persisted  in 
for  an  hour  at  a time,  will  soon  overcome  the  habit  in  many,  if  not 
all  cases. 

A kind  treatment  should  be  pursued  towards  one  affected  in  this 
way,  by  both  parents  and  teachers,  and  particularly  when  lessons 
are  to  be  recited,  or  messages  deliveredf 


GENERAL  DISEASES. 


103 

TREATMENT . HOMEOPATHIC . 

Belladonna,  Mercury,  Lachesis,  Stramonium,  Natruin  Muriati- 
cum,  Ignatia,  Pulsatilla,  are  the  remedies,  and  act  by  diminishing 
the  general  sensitiveness  of  the  nervous  system. 

Administration  of  Remedies  — A dose  of  the  chosen  remedy 
should  be  given  every  night  and  morning,  for  six  weeks,  before 
changing  to  another  remedy. 


13 


194 


OUR  FAMILY  PHYSICIAN. 


CHAPTER  X. 

Affections  of  the  Throat. 

Sore  Throat,  (Quinsy,  Angina  Faucium .) 

THIS  disease  consists  in  an  inflammation  and  swelling  of  the 
back  part  of  the  throat,  palate  and  tonsils,  which  interferes 
with  the  breathing  to  more  or  less  extent,  and  occasions  high  fever. 
It  may  appear  as  a slight  irritation  of  the  throat,  or  form  abscesses 
in  the  tonsils,  or  sides  of  the  throat,  and  become  very  painful. 

Symptoms.- — Quinsy  generally  begins  with  restlessness,  high 
fever,  slight  cough,  more  or  less  soreness  of  the  throat,  especially 
when  swallowing,  smooth  and  shining  redness  of  the  tonsils  and 
throat,  face  flushed  with  considerable  fever,  breath  quickened,  voice 
thick,  speaking  sometimes  difficult  or  painful,  glands  of  the  neck 
sometimes  enlarged  and  painful,  cheeks  swollen,  inflammation 
extensive,  ending  in  the  formation  of  abscesses  in  the  tonsils  and 
adjacent  parts,  tonsils  sometimes  so  much  enlarged  as  to  interfere 
very  much  with  the  breathing,  finally  gathering  and  breaking.  To 
examine  the  throat  well,  the  head  should  be  thrown  back,  the 
mouth  widely  opened,  and  the  root  of  the  tongue  depressed  by  the 
handle  of  a spoon.  By  this  means  the  whole  interior  of  the  throat 
is  brought  into  view. 

Sometimes,  repeated  attacks  of  Quinsy  will  leave  the  tonsils 
permanently  enlarged,  in  which  case,  if  remedies  do  not  relieve, 
they  must  be  cut  out  by  a Surgeon. 

TREATMENT. ALLOPATHIC. 

If  the  pulse  is  full  and  strong,  and  the  head  painful,  bleeding 
may  be  resorted  to,  and  a purge  of  Senna  tea,  with  Sulphate  of 
Magnesia,  may  be  given;  or  Calomel,  or  Jalap.  Generally,  how- 
ever, no  other  cathartic  is  required  than  Epsom  Salts 

This  purgative  should  be  followed  by  Wine  of  Ipecac:,  twenty 


GENERAL  DISEASES. 


195 


drops,  every  three  hours,  accompanied  with  frequent  draughts  of 
Flax  seed  tea,  or  Flax  seed  Lemonade.  If  the  swelling,  heat,  and 
pain  in  the  throat,  are  great,  six  to  ten  leeches  should  be  applied 
to  it ; or  in  mild  cases,  or  where  the  patient  is  feeble,  a poultice  of 
Flax  seed  meal,  to  which  has  been  added  Lard  and  Laudanum, 
should  be  applied.  When  the  poultice  is  changed,  bathe  the  throat 
with  a liniment  of  Ammonia,  or  Soap  liniment  to  which  Aqua 
Ammonia  has  been  added. 

The  following  gargle  may  be  used  : 

Honey, 1 tablespoonful. 

Vinegar, 2 tablespoonfuls. 

Sage  tea  or  water  enough  to  make  half  a pint. 

An  infusion  of  Red  Roses,  or  Sage,  sweetened  with  Honey  of 
Roses,  may  be  used  as  a gargle,  and  so  also  may  a weak  solution 
of  Alum,  when  matter  forms  in  the  tonsils,  and  they  burst.  A 
generous  diet  should  be  allowed,  and  wine,  or  the  following  tonic 
may  be  taken : 

Infusion  of  Colomba,  or  Cascarilla,  - 5 ^ ounces. 

Compound  Tincture  of  Cardamons,  - • ^ ounce. 

Dilute  Nitric  Acid,  ....  1-J-  drachms. 

Mix.  Dose  two  tablespoonfuls,  three  times  a day. 

When  the  tonsils  remain  enlarged  after  the  disease  is  cured,  the 
following  liniment  may  be  used  : 

Camphor  Liniment,  * 6 drachms. 

Soap  Liniment,  * 6 “ 

Tincture  of  Cantharides,  • - ■ jounce. 

Mix,  and  rub  the  outside  of  the  throat  twice  a day. 

Touching  the  tonsils  with  a strong  solution  of  Tannin,  or  Nitrate 
of  Silver  will  sometimes  cause  them  to  shrink  to  their  natural  size. 
A strong  solution  of  Alum,  applied  to  the  tonsils,  will  sometimes 
prove  beneficial ; also,  Tincture  of  Iodine  is  said  to  have  often 
effected  cures. 

ECLECTIC  AND  HERBAL. 

In  the  early  stage  give  an  emetic  of  Lobelia  and  Ipecac,  and  let 
the  patient  while  taking  the  emetic,  drink  warm  Sage  tea,  and  he 
may  also  be  allowed  to  steam  the  throat  over  the  following  decoc- 
tion : Hops,  Wormwood,  Sage,  Boneset,  Hoarhound,  Catnip,  of 
each  a handful,  placed  in  warm  water,  the  hot  vapors  being  al- 
lowed to  rise  around  the  throat,  at  the  same  time  let  the  patien# 
inhale  the  vapor  into  the  throat  and  lungs.  If  all  of  these  herb* 
cannot  be  procured,  use  three  or  four  of  them. 

The  following  liniment  may  be  used,  as  an  external  application 


196 


OUli  FAMILY  PHYSICIAN. 


Oil  of  Sassafras, 

Sweet  Oil,  - 
Spirits  Camphor, 

Spirits  Hartshorn, 

Oil  of  Pennyroyal, 
Tincture  of  Quinine,  - 
Spirits  Turpentine,  - 


2 ounces. 
2 “ 

2 “ 

2 “ 

2 “ 

2 “ 

2 “ 


With  this  bathe  the  neck  and  throat  frequently,  applying  a piece 
of  flannel  around  the  throat. 


As  a gargle,  the  following  may  be  used  : take  a small  handful  of 
sage  and  as  much  sumach  berries  or  bark,  boil  in  three  pints  of 
water  down  to  one  pint,  then  add  a teaspoonful  each  of  pulverized 
alum,  borax  and  saltpetre ; strain,  sweeten  with  honey  and  gargle 
tbe  throat  with  this  frequently. 

Lemon-juice  and  honey  mixed  together  and  administered  fre- 
quently will  be  very  serviceable  and  refreshing,  and  may  be  used 
instead  of  a gargle. 

The  feet  should  be  frequently  bathed  with  warm,  weak  lye  water, 
and  the  surface  of  the  body  should  also  be  bathed  two  or  three 
times  a day,  especially  where  there  is  high  fever. 

Much  benefit  has  been  derived,  in  some  cases  by  the  application 
of  a poultice  made  by  roasting  fresh  poke  root  in  the  ashes  until  it 
is  softened,  when  it  should  be  washed  and  applied  warm,  several 
times  every  day. 

When  the  disease  assumes  a chronic  character,  the  following 
will  be  found  an  invaluable  application  : 


Saturated  Solution  of  Sal.  Ammoniac,  - 4 ounces. 

Tincture  Cayenne,  1 ounce. 

Mix.  Gargle  with  this  several  times  a day. 

When  the  tonsils  become  enlarged  and  remain  so,  the  following 
may  be  used  : 

Iodine,  ......  l scruple. 

Ointment  of  Roses,  1 ounce. 


Apply  a portion  on  a small  brush  to  the  tonsils,  every  morning 
and  evening,  and  continue  the  application  for  several  months. 


Or  this, 

Tannic  Acid,  ------  20  grains. 

Common  Salt,  - - - - - * 40  “ 

Extract  of  Blood  Root,  - - • • 10  “ 

Ointment  of  Roses,  - - - • -1  drachm. 

Mix  and  apply  as  before. 


GENERAL  DISEASES. 


19/ 


HOMEOPATHIC. 

Aconite  and  Belladonna.  — These  are  generally  the  most  appropri- 
ate remedies  with  which  to  commence  treatment,  particularly  if  the 
following  symptoms  are  present : Violent  fever,  pulse  full  and 
bounding,  great  heat,  thirst,  restlessness,  constant  desire  to  swal- 
low, the  swallowing  producing  spasms  in  the  throat,  which  force 
liquids  out  through  the  nose  — burning  or  pricking  sensation  and 
dryness  of  the  throat,  pains  shooting  into  the  tonsils  and  ears, 
swelling  on  the  outside  of  the  throat,  profuse  salivation,  face  red 
and  swollen,  skin  hot  and  dry,  thirst,  putrid  and  bitter  taste  in  the 
mouth. 

Mercurius. — Putrid  and  offensive  odor  from  the  mouth  ; mouth 
dry  and  filled  with  tough  saliva,  palate  elongated  and  red,  tonsils 
red,  dark,  inflamed  and  enlarged,  violent  throbbing  of  the  throat 
and  ears,  extending  to  the  neck  especially  during  the  swallowing, 
profuse  discharge  of  saliva,  chills  in  the  evening  and  heat  followed 
by  perspiration,  glands  of  the  neck  painful  on  motion  of  the  jaws 
or  on  swallowing,  loss  of  appetite  and  disgust  at  food,  putrid  and 
coppery  taste  in  the  mouth. 

Bryonia.  - — Shooting  sensations,  with  dryness  of  the  throat  and 
difficulty  of  speech,  hoarseness,  oppressive  breathing,  breaking  and 
painful  sensation  of  the  throat,  swallowing  painful,  some  fever 
either  with  or  without  thirst,  chilliness,  pains  in  the  limbs  and  back 
of  the  head.  This  may  be  given  in  alternation  with  Rhus. 

Ohamomilla . — Especially  when  the  disease  is  caused  by  taking 
cold  or  exposure  to  a draught  of  air  while  perspiring,  swelling  of 
the  tonsils,  hacking  cough,  flushed  cheeks,  or  one  cheek  flushed  and 
the  other  pale,  fever  in  the  evening,  with  flashes  of  heat,  the  glands 
of  the  neck  under  the  chin,  and  tonsils  being  much  swollen. 

Lachesis. — This  has  been  proved  a very  useful  remedy  when 
Mercury  and  Belladonna  have  been  used  without  effect,  and  espe- 
cially when  the  following  symptoms  are  present : Swelling  and 
redness  with  a feeling  of  rawness  of  the  tonsils  and  palate,  dryness 
of  the  throat,  constant  disposition  to  swallow,  sensation  as  of  a 
tumor  or  lump  in  the  throat,  worse  in  the  afternoon  and  morning, 
after  sleeping  or  on  very  slight  pressure  on  the  neck,  small  ulcers 
on  the  throat  and  on  the  left  tonsil. 

Ilepar  Sulphur.  — In  cases  where  the  abscesses  in  the  tonsils 
threaten  to  break,  this  remedy  will  hasten  the  process  ; may  be 
given  in  the  beginning  of  the  disease  when  there  are  lancinating 
pains  in  the  throat  — in  alternation  with  Mercurius. 

Nux  Vomica.  — It  may  be  given  when  Chamomilla  does  not  re- 
lieve, and  also  when  there  is  soreness,  with  a feeling  of  rawness,  as 
if  the  throat  had  been  scraped. 

Pulsatilla. — Suits  frequently  in  the  case  of  females  or  persons 


198 


OUR  FAMILY  PHYSICIAN. 


of  a mild  character — when  the  throat  feels  swollen  inside,  with 
tonsils  and  palate  of  a dark  red  appearance,  shooting  pains  in  the 
throat  towards  the  ear  when  swallowing,  patient  feels  chilly  towards 
evening,  the  chill  being  followed  by  heat. 

In  cases  of  persons  subject  to  Quinsy,  sponging  the  throat  and 
breast  with  cold  water  every  morning  will  prevent  or  modify  the 
attacks. 

Sore  Throat. 

This  disease  is  very  common,  especially  among  children.  It  is 
often  complicated  with  other  disorders,  notably  those  of  the  chest 
and  stomach,  and  is  not  infrequently  a premonitory  symptom  of 
fever,  especially  when  such  derangement  of  the  system  is  caused  by 
exposure  to  cold  or  wet.  In  its  simplest  type  it  is  more  annoying 
than  it  is  dangerous  ; but  since  it  is  so  generally  the  precursor  of 
more  malignant  disorders,  it  should  not  be  neglected  when  it  attacks 
a patient  in  any  form. 

TREATMENT. 

Bind  the  throat  up  with  a wet  bandage,  covering  it  well  with  a 
flannel  cloth,  or,  better  still,  gargle  the  throat  with  Pona’s  Extract, 
undiluted,  every  two  hours,  also  wear  about  the  throat  a piece  of 
flannel  saturated  with  this  preparation. 

Ulcerated  or  Putrid  Sore  Throat,  Malignant  Quinsy. 

{Angina  Gangrenosa.) 

This  disease  occurs  frequently  as  an  epidemic,  and  is  very  similar 
to  Sore  Throat  in  the  malignant  form  of  Scarlet  Fever.  It  also 
forms  an  independent  disease,  occurring  generally  in  damp  weather, 
attacking  persons  of  delicate  constitutions  and  those  who  live  in 
low,  damp,  ill-ventilated  houses. 

Symptoms . — This  disease  generally  commences  with  a chill 
followed  by  a fever,  languor,  oppression  of  the  chest,  with  or 
without  vomiting,  cheeks  of  a crimson  hue,  more  or  less  inflamma- 
tion of  the  throat  and  tonsils,  acrid  discharge  from  the  mouth  and 
nose,  pulse  weak  and  very  quick.  On  examining  the  throat,  it  is 
found  to  be  of  a bright,  red  appearance  and  swollen,  and  together 
with  the  tonsils  soon  becomes  covered  with  ulcers.  The  whole 
interior  ot  the  mouth  and  often  the  lips  are  involved  in  the  des- 


GENERAL  DISEASES. 


199 


truction  of  the  membrane.  The  breath  becomes  very  offensive  ; 
the  elands  around  the  neck  swell,  the  skin  of  the  face  and  neck 
assumes  a shining,  glossy  appearance,  the  countenance  becomes 
sunken,  and  vomiting  and  fetid  diarrhoea  take  place. 

The  skin,  which  at  the  commencement  of  the  disease  was  hot 
and  dry,  now  becomes  covered  with  a clammy  sweat.  Finally 
drowsiness  sets  in  and  the  patient  dies. 

Causes . — The  disease  is  supposed  to  be  contagious  and  also 
arises  from  cold  and  exposure.  The  treatment  of  this  disease 
should  never  be  undertaken  by  any  one  but  a Physician,  if  it  is 
possible  to  procure  one. 

TREATMENT. ECLECTIC  AND  HERBAL. 

In  the  early  stage  give  an  emetic  and  follow  by  a cathartic  in 
case  the  bowels  are  costive.  Bathing  the  throat  frequently  with 
Tincture  of  Myrrh  arid  Cayenne,  or  the  liniment  recommended  for 
Quinsy,  will  be  found  beneficial.  A spoonful  of  hop  yeast  should 
be  given  to  the  patient  frequently,  and  if  the  pulse  sinks  and  the 
patient  becomes  weak,  porter,  ale,  or  beer  should  be  allowed. 

The  following  may  be  given  : Take  a teaspoonful  of  Cayenne 
and  a tablespoonful  of  salt,  and  simmer  them  in  a pint  of  water 
and  good  vinegar  ; when  cool,  strain  and  give  a tablespoonful  every 
hour. 

The  following  gargle  may  be  used  : 

Sumach  berries,  - - * - - I ounce. 

White  Oak  Bark,  ....  I “ 

Red  Elm  Bark,  .....  1^  ounces. 

Blackberry  Root,  * * - - - “ 

Make  a decoction  with  sufficient  water,  and  to  each  pint  add  a 
lump  of  Alum  about  the  size  of  a walnut,  when  cool,  strain  and  use 
as  a gargle. 

HOMEOPATHIC. 

Belladonna  and  Mercury  in  alternation  (turn  about)  may  be  given 
at  the  commencement,  especially  if  there  is  dryness  of  the  mouth 
and  restlessness  or  delirium. 

Aconite  and  Belladonna — May  be  necessary  in  the  commencement 
of  the  attack  when  the  fever  is  high  — a few  doses. 

Mercury . — To  be  given  as  soon  as  the  dryness  of  the  throat  and 
difficulty  of  swallowing  appear. 

Nitric  Acid . — May  be  given  if  Mercury  fails  to  relieve,  the 


200 


OUR  FAMILY  PHYSICIAN. 


ulcers  increasing  in  size  and  becoming  painful.  Take  alone  or  in 
alternation  with  Mercury. 

Arsenicum.  — This  is  one  of  the  principal  remedies  and  should  be 
given  when  there  is  great  weakness  and  rapid  sinking  of  the 
patient ; also  when  the  ulcers  present  a dark  red  appearance  and 
when  they  are  covered  with  scabs  and  surrounded  with  livid  mar- 
gins, the  teeth  and  lips  being  covered  with  blackish  incrustations, 
constant  muttering  and  delirium,  breathing  difficult,  acrid  discharge 
from  the  mouth  and  nose  excoriating  the  parts  with  which  it  comes 
in  contact.  This  remedy  may  be  given  either  alone  or  in  alternation 
with  Lachesis. 

Lachesis . — -Particularly  when  the  neck  is  swollen  or  discolored 
and  tongue  painful  to  external  pressure. 

Carbo  Vegetabilis.  — When  the  discharge  from  the  ulcers  is  thin, 
copious  and  fetid,  accompanied  with  great  weakness. 

Secale. — When  the  patient  is  inclined  to  sleep  a great  deal,  or 
when  he  lies  in  a drowsy,  half-stupefied  state. 

Opium.  — If  Secale  does  not  have  the  desired  effect. 

Bryonia  and  Hellebore.  — If  the  patient  sleeps  with  eyes  half 
open. 

Nitric  Acid.  - — A dose  morning  and  evening  if  the  ulcers  do  not 
heal  rapidly  after  the  patient  is  out  of  danger. 

Administration  of  Remedies.  — Dissolve  twelve  globules  in  twelve 
teaspoonfuls  of  water,  give  a teaspoonful  every  hour  at  the  com- 
mencement of  the  attack,  lengthening  the  intervals  to  two,  three 
or  four  hours,  as  the  symptoms  subside. 

The  diet  should  consist  of  rice,  arrowroot,  corn  starch,  thin  flour 
gruel  and  the  like.  If  the  mouth  is  very  hot  and  dry  it  may  be 
moistened  with  a little  milk  and  water.  The  patient  should  be 
placed  in  a large,  dry,  airy  room,  there  being  plenty  of  fresh  air 
admitted. 

ALLOPATHIC. 

The  bowels  should  be  opened  with  a dose  of  Sulphate  of  Magne- 
sia, or  Rochelle  Salts. 

As  a gargle,  a mixture  of  Red  pepper,  vinegar  and  water  may  be 
used. 

A strong  solution  of  Nitrate  of  Silver  in  the  proportion  of  thirty 
grains  to  an  ounce  of  water,  applied  with  a large  camel-hair  brush 
to  the  tonsils,  will  change  the  character  of  the  inflammation  very 
quickly. 

Equal  parts  of  Muriatic  acid  and  honey  should  be  applied  in  a 
similar  manner,  or  when  diluted  with  water,  may  be  used  as  a 
gargle. 

Eberle  speaks  approvingly  of  a strong  infusion  of  the  root  of  the 
common  Indigo,  used  as  a gargle. 


GENERAL  DISEASES. 


201 


Swelling  or  Elongation  of  the  Palate. 

This  is  an  affection  which  is  generally  caused  by  a slight  cold,  or 
an  attack  of  indigestion.  It  consists  in  a slight  inflammation  of 
the  Palate  which  causes  elongation,  thereby  producing  a sensation 
as  if  it  had  fallen. 

treatment. — eclectic  and  herbal. 

A strong  decoction  of  White  Oak  bark  may  be  used  as  a gargle, 
a little  alum  being  dissolved  in  it  to  make  it  more  effective.  Pep- 
per, salt  or  mustard  will  sometimes  relieve. 

HOMEOPATHIC. 

Nux  Vomica.  — The  best  remedy.  Dose,  thr^e  or  four  globules 
every  two  hours. 

Mercury , Belladonna  or  Sulphur.  — In  the  same  manner,  should  be 
tried,  if  Nux  Vomica  fails  to  effect  a cure.  Cold  water  applied 
externally  and  internally  is  very  beneficial. 

Diphtheria. 

This  disease  is  a comparatively  new  one,  with  the  character  of 
' which  we  have  been  but  little  acquainted  until  within  the  last  few 
years.  It  is  extremely  dangerous,  and  is  contagious,  and  infec- 
tious. It  attacks  all  ages,  but  principally  the  young,  and  among 
these,  especially  the  full-blooded,  fleshy  children.  Adults  are  sel- 
dom affected  with  it  unless  it  be  by  re-infection  from  others. 

Causes.  — These  are  not  fully  understood.  By  some  it  is  con- 
sidered a malignant  form  of  croup,  (but  it  differs  very  much  from 
that)  while  by  others  it  is  looked  upon  as  a species  of  Scarlet 
Fever.  It  is,  however,  a disease  affecting  the  whole  constitution, 
but  making  itself  manifest  particularly  in  the  throat. 

Symptoms. — These  vary  greatly  in  their  character.  The  first 
symptom  in  almost  every  case  is  a subdued  hoarseness  of  the  voice, 
with  apparent  weakness  of  utterance,  accompanied  at  the  same 
time  with  slight  chills,  (at  least  these  have  been  observed)  and 
fever,  severe  headache,  followed  in  an  alarmingly  short  time  with 
soreness  of  the  throat  and  difficulty  of  swallowing.  For  several 
days  before  the  attack,  the  patient  may  feel  slightly  ill  and  easily 


202 


OUR  FAMILY  PHYSICIAN. 


fatigued.  Together  with  the  soreness  of  the  throat,  there  is  a prick- 
ing sensation  at  the  root  of  the  tongue,  and  the  glands  at  the 
angles  of  the  lower  jaws  become  slightly  swollen  and  tender. 
There  are  generally  aching  in  the  bones,  weariness,  disordered 
stomach,  loss  of  appetite.  In  many  instances  the  disease  makes 
so  slight  an  impression  on  the  throat,  that  it  is  difficult  for  the 
friends  of  the  patient  to  be  convinced  that  the  child  is  in  a danger- 
ous condition.  In  some  cases,  however,  the  child  complains  early 
of  a soreness  of  the  throat  and  stiffness  of  the  neck.  Externally 
the  tonsils  are  enlarged  and  tender,  while  internally  the  inflamma- 
tion is  plainly  visible  in  the  throat,  which  presents  the  appearance 
of  being  highly  varnished,  like  mahogany,  among  older  children 
and  adults,  and  of  a rose-color  among  young  children.  The  throat 
is  dotted  over  with  spots  of  false  membrane,  varying  from  the  size 
of  a split  pea  to  half  an  inch  in  diameter.  When  the  membrane 
becomes  detached  it  leaves  the  surface  of  an  appearance  like  that 
of  raw  meat.  There  is  always  more  or  less  fever,  with  headache, 
which  in  some  cases  is  almost  unbearable.  The  odor  of  the  breath 
is  so  peculiar  that  persons  familiar  with  the  disease  are  able  to 
detect  it  from  that  symptom  alone.  Upon  examining  the  back 
part  of  the  throat,  it  will  generally  be  found  covered  with  a 
film  of  mucus  like  a curtain,  which  is  broken  by  the  breath,  but  is 
immediately  re-formed.  In  a severe  form,  the  fever  is  high,  with 
hot,  burning  skin,  flushed  countenance,  rapid  pulse,  great  difficulty 
in  swallowing,  hurried  breathing,  tongue  coated  with  a thick,  dirty, 
whitish,  yellowish  brown,  or  slate-colored  substance,  together  with 
great  weakness  and  prostration.  The  tonsils  will  become  enor- 
mously swollen,  and  the  whole  mouth  and  throat  covered  with  a 
false  membrane,  which  has  the  appearance  of  wash-leather. 

As  the  disease  advances,  these  symptoms  increase  in  severity. 
The  breathing  becomes  very  labored  ; the  swallowing  becomes  so 
painful  that  the  patient  refuses  to  swallow  ; the  saliva  dribbles 
from  the  mouth,  and  a foul,  fetid  discharge  takes  place  from  the 
nostrils  ; the  pulse  is  rapid  and  feeble ; the  breath  becomes  extremely 
offensive,  and  the  case  assumes  so  repulsive  an  aspect  that  even 


GENERAL  DISEASES. 


203 


the  patient’s  best  friends  cannot  come  near  without  a feeling  of 
aversion.  The  countenance  is  of  a leaden  hue  ; the  skin  is  cold 
and  shrivelled  ; the  patient  tosses  from  side  to  side,  fighting  for 
breath  ; the  voice  grows  hoarse  and  indistinct  ; the  neck  and  face 
are  enormously  swollen,  and  the  patient  dies  from  rapid  prostration 
of  the  vital  powers,  or  from  suffocation,  caused  by  the  extension 
of  the  false  membrane  into  the  air  passages.  Sometimes  in  the 
beginning  of  a severe  case  of  diphtheria,  the  patient  is  seized  with 
violent  vomiting,  of  a thin,  yellowish-white,  very  offensive  matter, 
followed  by  great  prostration  and  stupor.  Frequently  the  patient 
will  lie  in  a long,  heavy  sleep,  being  with  difficulty  aroused.  The 
patient,  if  asked  at  the  time  if  the  throat  is  sore,  will  be  likely  to 
reply  that  it  is  not,  and  thereby  many  are  deceived  in  detecting 
the  disease.  In  many  cases  the  stupor  attends  from  the  com- 
mencement, lasting  until  death  relieves  the  sufferer.  At  other 
times  the  whole  mouth  is  lined  with  a whitish  deposit,  which  has 
the  appearance  of  plaster  of  Paris.  Large  livid  spots  appear  on 
different  parts  of  the  body,  and  a whitish  matter  is  discharged 
from  the  bowels. 

Another  form  of  this  disease  is  occasionally  met  with,  which 
steals  upon  the  patient  unconsciously,  giving  no  warning  of  its  ap- 
proach until  the  whole  system  is  entirely  within  its  grasp.  The 
soreness  of  the  throat,  which  perhaps  has  attracted  but  little  at- 
tention, for  a day  or  two,  suddenly  becomes  very  much  worse,  the 
patient  being  seized  with  a croupy  breathing,  and  in  a few  hours  is 
either  beyond  the  hope  of  recovery,  or  may  live  for  two  or  three 
days,  brightening  at  times,  but  finally  sinking  from  exhaustion  of 
the  vital  powers.  Several  disorders  are  likely  to  follow  diphtheria, 
the  most  alarming  of  which  is  Paralysis.  In  strong  constitutions, 
the  chances  for  recovery  are  favorable,  if  treatment  is  begun  at  an 
early  period.  If,  however  the  treatment  has  been  delayed  for  a 
day  or  two  after  the  symptoms  show  themselves,  the  chances  are 
very  much  lessened.  Vomiting  in  the  early  stages  of  the  disease 
is  a very  grave  symptom.  The  longer  the  false  membrane  is  in 
forming,  the  more  unfavorable  the  results  to  be  feared. 


204 


OTJR  FAMILY  PHYSICIAN. 


GENERAL  TREATMENT. 

The  patient  should  be  placed  in  a dry,  well-ventilated  room  in  a 
a clean  bed,  the  room  being  kept  moderately  warm.  No-one  should 
be  allowed  in  the  room  except  the  attendants.  To  counteract  the 
odor,  it  is  well  to  place  in  the  room,  dishes  of  chloride  of  lime  and 
vinegar. 

HOMEOPATHIC. 

Aconite,  Belladonna , Kali  Chloricum , Kali  Bi-Chromicum , Proto- 
Iodide  or  Bin-Iodide  of  Mercury. — Are  the  principal  remedies  in  this 
disease. 

Aconite  and  Belladonna  — In  alternation,  if  the  disease  commences 
with  a fever,  every  hour  a teaspoonful,  until  the  fever  subsides. 

If,  however,  the  symptoms  grow  worse,  other  remedies  should  be 
resorted  to.  Belladonna , Kali  Chloricum , Kali  Bi-  Chromic  am  and 
Bin- Iodide  of  Mercury , constitute  the  remaining  remedies.  Of 
the  first  three,  give  five  drops  of  Belladonna,  twenty  drops  of  Kali 
Chloricum,  and  half  a grain  of  the  powder  of  Kali  Bi-chromicum, 
each  in  a tumbler  half  full  of  water,  one  or  two  teaspoonfuls  at  a 
dose.  Of  the  Mercury,  which  is  also  in  powder,  give  a dose  about 
the  size  of  a small  pea.  In  the  beginning  give  Belladonna,  the  next 
hour  Kali  Chloricum,  the  third  hour  Kali  Bi-Chromicum,  the  fourth 
hour  Bin-Iodide  of  Mercury,  and  the  fifth  hour  Belladonna  again, 
and  so  on.  If  the  patient  is  better,  or  but  little  worse,  the  next 
day,  the  intervals  between  the  remedies  may  be  lengthened  to  two 
hours,  and  afterwards  to  three  hours.  When  the  throat  symptoms 
have  all  disappeared,  the  last  remedies  may  be  omitted,  and  the  - 
three  first  given  until  all  traces  of  the  disease  have  vanished. 

The  Bi-Chromate  of  Potassa  is,  by  some,  recommended  To  be 
given  in  this  disease,  and  is  best  administered  by  placing  in  a small 
tin  tea-pot  two  or  three  grains  of  the  powder,  pouring  in  a half  cup 
of  hot  water,  the  patient  inhaling  the  vapor  as  it  passes  through 
the  spout. 

The  diet  should  be  carefully  regulated,  and  the  patient  should  be 
closely  watched,  and  as  soon  as  the  pulse  begins  to  flag,  and  the 
skin  to  get  cool,  and  symptoms  of  prostration  to  show  themselves, 
stimulants  should  be  resorted  to,  such  as  port  wine,  claret,  cham 
pagne,  milk  punch,  and  brandy  and  water  ; eggs  beaten  up  with 
brandy,  hot  water  and  sugar,  make  an  excellent  stimulant.  For 
children,  the  best  stimulant  is  whey,  or  beef  tea  mixed  with  port' 
wine,  or  port  wine  and  arrowroot.  The  soft  part  of  oysters  raw 
or  stewed,  make  a good  substitute  when  the  patient  is  tired  of 
beef  tea.  As  a drink,  the  patient  may  be  given  barley-water, 
toast  water,  made  sour  with  a little  lemon  juice,  or  cold  water,  to 
which  has  been  added  a little  raspberry  or  strawberry  syrup 


GENERAL  DISEASES. 


20  5 


and  ice-cream  should  be  allowed,  especially  during  convalescence. 
As  a gargle,  salt  and  water  is  much  used,  and  bandages,  dipped  in 
a solution  of  salt  and  water  should  be  applied  to  the  throat,  or 
slices  of  fat  bacon  may  sometimes  be  used  in  the  same  way,  with 
benefit. 

ALLOPATHIC. 

It  is  well  to  give  at  the  beginning  of  the  disease,  a small  dose  of 
Citrate  of  Magnesia  or  Rochelle  salts.  Chlorate  of  Potassa  is  an 
excellent  remedy  — to  an  adult  give  a solution  of  twenty  grains 
every  three  hours.  To  a child  five  or  six  years  old,  give  the 
following : 

Chlorate  of  Potassa,  2J  drachms. 

Peppermint  water,  - - 4 ounces. 

Mix.  Dose,  a tablespoonful  every  three  hours.  Tincture  of 
Chloride  of  Iron  is  much  used.  To  an  adult  give  twenty  drops 
every  three  hours. 

An  excellent  prescription,  combining  the  Chlorate  of  Potassa 
and  the  Chloride  of  Iron,  is  as  follows : 

Chlorate  of  Potassa,  ....  2 drachms. 

Tincture  of  Chloride  of  Iron,  - - - 1 drachm. 

Simple  Syrup,  .....  2 ounces. 

Peppermint  Water,  ....  2 u 

Mix.  Dose,  a tablespoonful  every  three  hours. 

To  sustain  the  strength,  the  Sulphate  of  Quinine,  in  doses  of  a 
grain,  every  two  or  three  hours,  is  recommended. 

The  Per-Manganate  of  Potassa  is  recommended  by  some, — a 
drachm,  dissolved  in  a pint  and  a half  of  water,  a teaspoonful 
being  taken  every  hour. 

As  a gargle  you  may  use  half  an  ounce  of  solution  of  Chloride 
of  Soda  to  six  ounces  of  water,  which  may  be  applied  to  the  throat 
by  a camel’s-hair  brush,  or  may  be  thrown  in  with  a syringe. 

The  discharge  from  the  nostrils  may  generally  be  checked  by  an 
injection  twice  every  twenty-four  hours,  of  a solution  of  one  or 
two  grains  of  Nitrate  of  Silver,  to  the  ounce  of  water. 

The  swelling  of  the  glands  of  the  neck  may  be  diminished  by 
the  application  of  linseed-meal  poultices.  In  the  early  stages  of 
this  disease,  the  patient,  if  old  enough  to  employ  it,  may  be  much 
relieved  by  inhaling  the  steam  of  hot  water,  or  hot  water  and  vine- 
gar. Muriatic  ac.d  and  honey,  equal  parts,  applied  to  the  throat 
with  a camel’s-hair  pencil  — or  this,  diluted  with  water  and  used  as 
a gargle,  is  sometimes  beneficial.  Creosote,  in  the  proportion  of  from 
four  to  eight  drops  in  two  ounces  each  of  glycerine  and  water,  may 
sometimes  be  used  with  benefit.  The  breathing-in  of  the  steam  oi 


206 


OUR  FAMILY  PHYSICIAN. 


lime-water  is  also  sometimes  attended  with  good  results.  If  at 
the  commencement  of  the  disease,  there  is  much  heat  of  the  skin, 
bowels  constipated,  an  emetic  of  five  or  ten  grains  of  Ipecac  may 
be  given,  followed  by  a few  grains  of  grey  powder,  or  a dose  of 
Sulphate  of  Magnesia.  Alum  reduced  to  a very  fine  powder  and 
blown  into  the  throat  through  a tube  introduced  into  the  patient's 
mouth,  (the  end  coming  in  contact  with  the  mouth  should  be 
defended  by  placing  over  it  a piece  of  fine  gauze,)  is  strongly  recom- 
mended by  some  French  physicians. 

The  better  way  of  applying  the  alum  is  by  means  of  a sponge  or 
a camel’s-hair  pencil  — using  it  as  a wash. 

The  following  is  an  excellent  gargle  : 

Chlorinated  Soda,  - - - * - 1 ounce. 

Muriated  Tincture  of  Iron,  - - ’ i u 

Water,  - - - * - - * 6 ounces 


Use  every  half  hour  or  hour.  This  is  especially  useful  where 
the  breath  is  very  offensive. 

Should  there  be  great  sinking,  or  depression,  the  following  may 
be  given  : 

Aromatic  Spirits  of  Ammonia,  - - 2 drachms. 

Ether,  1 drachm. 

Laudanum,  - - - - - 20  drops. 

Spirits  of  Camphor,  -----  1 drachm. 

Mix.  Dose,  half  a teaspoonful,  every  one,  two,  or  three  hours. 
The  following  is  a very  useful  prescription : 

Quinine,  -------  2 drachms. 

Hydro-chloric  acid,  ....  2 “ 

Muriated  Tincture  of  Iron,  - - 2 u 

Cinnamon  Water,  - - 12  ounces. 


Mix.  Dose,  two  tablespoonfuls  three  times  a day. 

The  diet  should  be  the  same  as  in  the  Homeopathic  treatment. 


ECLECTIC  AND  HERBAL. 


If  the  patient  be  strong  at  the  commencement  of  the  disease,  an 
emetic  is  beneficial,  but  if  weak  and  debilitated,  emetics  or  other 
weakening  measures  should  be  omitted.  Bathe  the  feet  in  warm 
water  to  which  plenty  of  mustard  has  been  added,  rubbing  the  feet 
and  legs  well.  If  the  throat  becomes  very  sore,  and  the  false 
membrane  appears,  the  following  may  be  used  as  a gargle  : 

Bichromate  of  Potash,  - - - - 10  grains. 

Water,  ......  4 ounces. 

Mix,  and  let  the  patient  gargle  the  throat  and  mouth  every  four 
hours.  If  the  patient  is  too  young  to  gargle,  the  throat  should  be 


GENERAL  DISEASES. 


207 


swabbed  with  the  mixture.  Nitrate  of  silver,  in  the  proportion 
of  one  drachm  to  an  ounce  of  water,  should  be  applied  to  the 
throat,  especially  where  there  is  a false  membrane  — the  applica- 
tion being  repeated  every  eight  or  ten  hours.  A gargle  composed 
of  vinegar,  honey,  red-pepper  and  warm  water,  is  recommended  by 
some,  but  for  children,  the  pepper  should  be  omitted.  Ashes  and 
salt  applied  hot  to  the  neck  in  a flannel  bag,  make  an  excellent 
application.  The  sulphite  of  soda,  in  the  proportion  of  six  drachms 
to  twelve  ounces  of  the  infusion  of  Quassia,  is  an  excellent  re- 
medy to  destroy  the  membrane  — a teaspoonful  being  given  three, 
four  or  six  times  a day. 

While  the  breath  is  very  offensive,  the  following  will  be  found 
useful : 

Chlorate  of  Potash,  ...  £ drachm. 

Tinct.  of  Muriate  of  Iron,  - - i “ 

Water,  ------  1 ounce. 

Mix.  Dose,  for  an  adult,  one  half  the  mixture. 

Quinine  has  been  found  a benefit  in  cases  of  great  weakness, 
given  as  follows  : 


Mix.  Give  a teaspoonful  every  hour  or  two. 

The  following  is  highly  recommended.  Turpentine  mixed  with 
the  yolk  of  an  egg,  to  which  has  been  added  syrup  enough  to  make 
an  ounce,  alternate  every  hour,  with  twenty  grains  of  Ammonia, 
dissolved  m water. 

When  putrid  symptoms  appear,  a gargle  of  equal  parts  of  pyro- 
ligneous acid  and  water  may  be  used. 


Sulphate  of  Quinine, 
Chlorate  of  Potash, 
Diluted  Muriatic  Acid, 
Water, 


£ drachm. 
1 “ 

£ ounce. 

\ pint. 


OUR  FAMILY  PHl'jSIOLAN. 


208 


CHAPTER  XI. 

Affections  of  the  Windpipe  and  Chest. 

Hoarseness. — ( Raucitas . Aphonia .) 

JF  this  complaint  accompanies  other  diseases,  such  as  measles, 
croup,  catarrh,  etc.,  see  for  its  treatment  the  articles  upon 
those  diseases.  But  it  is  sometimes  found  as  a single  symptom,  in 
which  the  treatment  that  follows  may  be  adopted : 

ECLECTIC  AND  HERBAL. 

The  following  may  be  used  : 

Horse-radish  root,  ■ 1 ounce. 

Boneset  leaves,  ------  1 ounce. 

Hot  water,  - - - - - 1 pint. 

Let  this  mixture  stand  in  a covered  vessel  near  the  fire  for  two 
^iours  and  then  add 

Vinegar, | pint. 

Molasses,  - - - - - - ^ u 

Boil  15  minutes.  Dose,  one  tablespoonful  everyone,  two  or  three 
hours. 

Or  this  : 

Grated  Horse-radish  root,  ...  4 ounces. 

Good  Vinegar,  ------  1 pint. 

Let  the  root  stand  in  the  vinegar  over  night,  then  add  half  a 
pint  of  honey.  Boil  and  strain.  Dose,  one  or  two  teaspoonfuls, 
three  times  a day. 

HOMEOPATHIC. 

Arsenicum . — If  with  the  hoarseness,  there  is  great  discharge  of 
acrid  water  from  the  nose. 

Chamomilla.  — Hoarseness  after  a cold,  accumulation  of  tough 
mucus  in  the  throat,  cough  morning  and  evening,  with  tickling  in 
the  throat,  hoarseness,*  with  pain  in  the  throat  after  spitting. 

Hepar  Sulphur.  — Hoarseness,  with  low  hollow  voice,  deep-seated 
cough,  hoarseness,  with  dry  evening  cough,  accompanied  with  a 


GENERAL  DISEASES. 


209 


sensation  of  soreness  in  the  throat  and  chest,  stinging  in  the  throat 
as  if  from  splinters. 

Mercury.  — Hoarseness,  attended  with  a burning  and  tickling 
sensation  in  the  throat,  and  thin  watery  discharge  from  the  head. 

Nux  Vomica.  — Hoarseness,  worse  in  the  morning,  with  dry 
obstruction  of  the  nose,  rough,  dry  cough,  patient  feels  alternately 
chilly  and  hot. 

Pulsatilla.  — Hoarseness,  with  almost  total  loss  of  voice,  pain 
when  swallowing,  loose  cough  with  yellowish  or  greenish  or  offen- 
sive discharge  from  the  nose,  pain  in  the  chest. 

Carlo  Vegetabilis.  — Chronic  hoarseness,  worse  morning  and 
evening,  aggravated  by  talking,  dry  cough,  with  hoarseness  and 
roughness  in  the  chest,  tickling  in  the  throat. 

Bryonia  and  Rhus.  — Give  in  alternation  every  two  or  three 
hours,  when  there  is  soreness  of  the  throat  and  chest,  worse  after 
talking  and  accompanied  with  chilliness,  pains  in  the  limbs  and 
head. 

Capsicum . — Hoarseness,  with  a tickling  or  crawling  in  the  nose, 
violent  cough,  worse  towards  evening,  with  pain  in  the  head  and 
other  parts  of  the  body. 

Causticum.  — For  obstinate  cases,  attended  by  cough  and  smart- 
ing in  the  chest ; chronic  hoarseness,  worse  morning  and  evening. 

Sulphur.  — Especially  for  chronic  cases  which  are  attended  with 
roughness,  or  griping  in  the  throat ; hoarseness  coming  on  during 
damp,  cold  weather,  deep,  rough  voice,  especially  at  night  — fol- 
lows well  after  Mercury  or  Pulsatilla. 

Administration  of  Remedies.  — The  above  medicines  may  be  given 
either  dry  or  in  water.  If  in  water,  dissolve  twelve  pills  in  as  many 
spoonfuls  of  water,  and  give  a teaspoonful  every  two,  three  or  four 
hours.  If  dry,  give  four  globules  at  a dose.  In  chronic  cases,  a 
dose  night  and  morning  will  be  sufficient.  The  remedies  should  be 
changed  in  six  or  seven  days,  if  no  improvement  takes  place. 
The  application  of  water  is  very  beneficial  in  this  complaint  ; a 
wet  bandage  should  be  worn  around  the  throat  during  the  night 
and  the  throat  washed  with  cold  water  in  the  morning. 

Inflammation  of  the  Windpipe,  ( Bronchitis .) 

This  disease  is  an  inflammation  of  the  membrane  lining  the  air- 
passages  of  the  lungs  or  the  windpipe,  and  may  be  either  acute  or 
chronic. 

Symptoins.  — The  acute  form  of  bronchitis,  generally  commences 
with  the  symptoms  of  .a  common  cold,  as  chilliness,  followed  bv  a 

14 


210 


OUE  FAMILY  PHYSICIAN. 


fever,  cough,  rapid  breathing,  feeling  of  pain  and  soreness  at  the 
upper  part  of  the  breast-bone,  breathing  very  much  oppressed, 
quick  and  irregular,  constriction  and  tightness  or  oppression  of  the 
chest,  the  air-passages  at  first  dry,  with  painful  cough.  As  the 
disease  progresses,  however,  a secretion  takes  place  which  is  some- 
times streaked  with  blood,  gradually  becoming  yellowish,  thick  and 
sticky.  There  is  apt  to  be  pain  in  the  forehead,  which  is  aggra- 
vated by  coughing.  There  is  loss  of  appetite,  coated  tongue, 
weakness,  paleness  of  the  lips.  As  the  secretion  increases  in  the 
throat,  the  cough  becomes  somewhat  lessened.  In  severe  cases, 
the  symptoms  are  more  violent,  the  fever  is  very  high,  the  pulse 
full  and  rapid,  skin  hot  and  dry,  breathing  rapid,  wheezing  and 
difficult,  severe  cough,  painful,  frequent  and  recurring  in  parox- 
ysms, thirst,  constipation.  Among  children  and  persons  who  are 
of  a feeble  constitution  there  is  apt  to  be  great  depression  of  the 
vital  powers.  The  surface  of  the  body  becomes  cold  and  purplish, 
the  pulse  small  and  rapid.  If  the  disease  is  about  to  terminate 
fatally,  there  will  be  convulsions  and  insensibility.  In  favorable 
cases  the  patient  will  recover  in  a week  or  ten  days. 

Causes.  — Cold  air  coming  directly  in  contact  with  the  mucous 
membrane  of  the  throat,  sudden  changes  of  temperature  as  in 
passing  from  a heated  room  to  the  cold  air,  breathing  irritating  va- 
pors. Persons  who  keep  the  mouth  open  when  walking  in  the 
cold  air,  are  much  more  liable  to  this  disease. 

TREATMENT. ECLECTIC  AND  HERBAL. 

An  emetic  of  equal  parts  of  Tincture  of  Lobelia  and  Blood  root, 
should  first  be  given  in  doses  of  one  tablespoonful  every  four  or 
five  minutes,  pennyroyal  or  sage  tea  being  given  at  the  same  time 
until  vomiting  takes  place.  In  some  cases,  bathing  the  feet  for  a 
short  time  in  hot  water,  placing  the  patient  in  bed  and  surrounding 
the  body  with  bottles  of  hot  water,  will  be  sufficient  to  break  the 
attack.  It  is  well  to  open  the  bowels  with  some  mild  physic  as 
Seidlitz  powder,  or  Rhubarb,  or  Magnesia.  Sugar,  moistened  with 
lemon-juice,  will  sometimes  be  found  to  relieve  the  cough,  and  teas 
of  pennyroyal,  bcneset  and  blood  root  may  be  given  for  the  same 
purpose.  Perspiration  should  be  promoted  by  the  administration 


GENERAL  DISEASES. 


211 


of  the  compound  Tincture  of  Yirghiia  Snake  Root.  For  a cough, 
the  following  preparation  may  be  given  : 

Honey,  - - - - . - 1 ounce. 

Olive  oil,  ------  1 “ 

Sweet  Spirits  of  Nitre,  - - - - 1 “ 

Lemon  Juice,  1 u 

Mix.  Dose,  for  an  adult,  a teaspoonful  three  or  four  times  a day. 


Or  this, 

Syrup  of  Squills,  - - - - - 1-J-  ounces. 

Syrup  of  Ipecac,  - ....  1-J-  “ 

Syrup  of  Balsam  Tolu,  • • - 1 ounce 

Tincture  of  Blood  Root,  1 i 

Elixir  of  Paregoric,  - • • - 1 1 

Mix.  Dose,  same  as  above. 

Or  this, 

Rosin, - 1 ounce. 

Loaf  Sugar,  - - - - - • I “ 

Gum  Arabic,  - • • • i “ 

Balsam  Tolu,  - - - - - - -J-  “ 

Reduce  to  a fine  powder  and  mix  in  a mortar.  Dose,  a half 
teaspoonful  in  a small  quantity  of  water,  three  or  four  times  a day 

In  chronic  Bronchitis,  the  following  may  be  given : 

Gum  Arabic,  - * - - - -2  ounces. 

Vinegar,  ^ pint. 

Molasses,  - - - - - • £ “ 

Boil  until  the  Gum  Arabic  is  dissolved  and  then  add 
Laudanum,  - - - - ounces. 

Tincture  of  Balsam  Tolu,  ...  3^  ounces. 

Dose,  one  teaspoonful  three  or  four  times  a day. 


Or  this, 

Acetic  Tincture  of  Blood  Root,  - - 1 ounce. 

Tincture  of  Black  Cohosh,  ...  1 “ 

Tincture  of  Balsam  Tolu,  * - 1 (i 

Wine  of  Ipecac,  ....  1 “ 

Sweet  Spirits  of  Nitre,  - - * 2 “ 


Mix.  Dose,  one  or  two  teaspoonfuls  three  times  a day. 
Breathing  in  the  warm  vapors  of  teas  of  Hoarhound,  Catnip, 
and  the  like,  sometimes  proves  beneficial.  In  the  chronic  form, 
the  following  will  be  found  an  excellent  prescription  : 

Powdered  Rhubarb,  ....  1 ounce. 

Bi-carbonate  of  Potash,  • • « - 1 “ 


212 


OUH  FAMILY  PHYSICIAN. 


Mix.  Dose,  five  to  ten  grains,  three  times  a da y in  a teaspoonful 
of  water.  In  some  cases  the  following  may  be  given  at  night,  for 
the  purpose  of  regulating  the  bowels  : 

Podophyllin, ± grain. 

Leptandrin, 1 or  2 grains. 

Loaf  Sugar,  - - - 5 “ 

Take  at  one  dose. 

The  following  pills  may  be  taken  to  relieve  the  cough : 

Extract  Hyosciamus,  - - • - 1-J-  drachms. 

Ipecac, “ 

Canada  Balsam,  ....  • i*  “ 

Muriate  of  Ammonia,  - - - - l|-  ’ “ 

Mix,  and  divide  into  pills  of  four  grains  each.  Dose,  a pill 
every  three  or  four  hours. 

The  following  is  an  excellent  preparation  for  chronic  Bronchitis : 

Extract  Hyosciamus,  - - - - 1^  drachms. 

Alcoholic  Extract  Black  Cohosh,  ■ 1^ 

Iodide  of  Potassium,  - - - l|-  “ 

Sulphate  of  Quinine,  ....  1^  “ 

Mix,  divide  into  pills  of  four  grains  each,  and  give  a pill  every 
three  or  four  hours. 

If  there  be  diarrhoea,  give  Tincture  of  Chloride  of  Iron,  in  doses 
of  twenty  drops  in  a wineglass  full  of  water,  three  or  four  times  a 
day. 

HOMEOPATHIC . 

Aconite.  — Generally  the  best  remedy,  particularly  when  there  is 
much  fever,  with  dry  skin,  pulse  rapid  and  hard,  breathing  quick 
and  anxious,  thirst,  throat  dry  with  cough,  and  tickling  sensation 
in  throat  and  chest,  anxiety  and  restlessness,  more  or  less  pain  in 
the  chest,  particularly  at  night. 

Tartar  Emetic.  — When  there  are  severe  paroxysms  of  coughing, 
with  feeling  of  suffocation,  wheezing  respiration,  shortness  of 
breath,  oppression  at  the  chest,  palpitation  of  the  heart,  and  pain 
in  the  back  and  limbs,  thirst. 

Pulsatilla.  — Moderate  fever,  heated  skin,  hoarseness  or  huskiness, 
obstructed  breathing  especially  when  lying  on  the  back. 

Bryonia.  — Dryness  in  the  throat,  breathing  difficult  short  and 
anxious,  oppression  of  the  chest  as  from  a weight,  stinging  in  the 
chest,  severe  headache  aggravated  by  motion. 

Nux  Vomica.  — Symptoms  about  the  same  as  in  Bryonia. 

Phosphorus. — After  the  inflammatory  symptoms  have  subsided, 
but  there  still  remains  difficulty  in  breathing,  hoarseness  and  rough- 


GENERAL  DISEASES. 


213 


ness  in  the  upper  part  of  the  windpipe,  heat  in  the  chest,  dry 
hacking  cough,  cough  excited  by  tickling  in  the  throat,  by  talking 
or  by  laughing. 

Chamomilla. — After  the  fever  is  subdued  with  Aconite,  but  a 
dry  cough  remains,  worse  at  night  and  during  sleep. 

Spongia  and  Hepar  Sulphur.  — These  may  be  given  in  alternation 
when  there  is  a difficulty  in  breathing,  soreness  of  the  throat, 
wheezing,  dry  hollow  cough  day  and  night,  but  more  particularly 
at  night. 

These  same  remedies  may  be  used  for  chronic  bronchitis. 

Administration  of  Remedies. — When  given  in  a solution,  dissolve 
twelve  globules  of  the  selected  remedy  in  twelve  teaspoonfuls  of 
water.  Dose,  one  teaspoonful  every  two  or  three  hours  according 
to  the  severity  of  the  symptoms.  When  given  dry,  three  to  six 
pills  at  a dose. 

In  chronic  Bronchitis  a dose  night  and  morning  will  be  sufficient. 

ALLOPATHIC. 

An  attack  of  bronchitis  may  be  sometimes  broken,  by  taking 
on  going  to  bed  a glass  of  hot  lemonade,  or  ten  grains  of  Dover’s 
powders  following  a warm  mustard  foot  bath.  Should  this  fail, 
give  a dose  of  Epsom  or  Rochelle  salts,  or  Citrate  of  Magnesia. 
If  the  fever  is  high,  the  cough  tight  and  the  breast  sore,  the  fol- 
lowing may  be  given. 

Tartrate  of  Antimony,  - • • 2 grains. 

Potassa,  ...  - 2 “ 

Water,  -------  4 ounces. 

Mix.  Dose  one  or  two  teaspoonfuls  every  two  or  three  hours. 
At  the  same  time  flax  seed  tea  may  be  freely  drank. 

Rubbing  oil  of  Turpentine  on  the  chest  will  sometimes  relieve. 

In  mild  cases,  Syrup  of  Ipecac  in  doses  of  one  or  two  teaspoon- 
fuls, every  two  or  three  hours,  will  sometimes  quickly  relieve. 


This  may  be  succeeded  by  the  following  : 

Nitrate  of  Potassa, 

2 drachms. 

Oxymel  of  Squills,  .... 

- 1 ounce. 

Tincture  of  Digitalis, 

•J-  drachm. 

Vinegar,  ...... 

- 1 tablespoonful. 

Sugar,  - .... 

Cum  Arabic,  ..... 

-J-  drachm. 
- \ drachm. 

Water  enough  to  make  six  ounces.  Mix. 
ful  every  two  or  three  hours. 

Dose,  one  tablespoon 

When  the  cough  is  troublesome  at  night,  the  following  may  be 
taken  : 


214 


OUR  FAMILY  PHYSICIAN. 


Syrup  of  Squills,  3 ounces 

Paregoric,  1 ounce. 

Mix.  Dose,  one  teaspoonful  two  or  three  times  daily,  or  two  tea 
spoonfuls  at  night. 

Hot  Bran,  or  mustard  poultices  should  be  applied  to  the  throat 
and  chest.  The  following  may  be  taken  in  case  of  a troublesome 
oough : 

Oxymel, 1 ounce. 

Tincture  of  Henbane,  1 drachm. 

Spirits  of  Nitre,  - - - * 1 “ 

Ipecac  Wine,  1 “ 

Cinnamon  Water,  - 2 ounces. 


Water  enough  to  make  six  ounces.  Mix.  Dose,  one  teaspoonful 
two  or  three  times  a day. 

Tartar  emetic  in  the  proportion  of  one  grain  to  ten  drachms  of 
coiling  water  may  be  sometimes  given  for  the  cough  — a teaspoon- 
ful every  two  hours. 

For  Chronic  Bronchitis,  apply  three  drops  of  Croton  oil  to  the 
chest,  every  night  until  there  is  an  eruption.  Plasters  of  Bur- 
gundy pitch,  hemlock,  etc.,  are  sometimes  beneficial.  The  follow- 
ing will  be  found  to  relieve  the  cough  in  some  cases : 


Balsam  of  Copaiva,  .... 

3 drachms. 

Compound  Spirits  of  Lavender, 

- 2 

u 

White  Sugar,  ..... 

2 

u 

Gum  Arabic,  - 

- 2 

u 

Water  sufficient  to  make  six  ounces.  Mix. 
ful  three  times  a day. 

Or  this  : 

Dose 

a tablesp* 

Muriate  of  Ammonia,  ....  8 drachms. 

Mucilage  of  Gum  Arabic,  ...  4 ounces. 

Mix.  Dose,  a tablespoonful  three  or  four  times  a day.  Inhaling 
the  following  vapors  when  the  secretion  is  very  copious,  s jmetimes 
proves  beneficial  : vapor  of  Tar,  produced  by  placing  an  ounce  or 
two  of  Tar  in  a cupful  of  boiling  water  — or  vapor  of  Creosote, 
produced  by  infusing  three  or  four  drops  of  Creosote  in  a half  pint 
of  boiling  water. 

Influenza. 

This  disease  when  it  affects  only  an  individual  here  and  there, 
and  lasts  but  a few  days,  is  called  a cold  or  catarrh,  but  when  it 
affects  a large  part  of  the  community,  at  the  same  tim*,  lasting 


GENERAL  DISEASES. 


215 


many  days,  or  weeks,  it  is  then  said  to  be  epidemic,  and  is  called 
Influenza. 

Causes.  — These  are  the  same  as  in  other  affections  of  the  throat 
and  lungs. 

Symptoms. — At  first  we  have  the  same  symptoms  as  Catarrh, 
with  a dull  pain  and  sensation  of  weight  in  the  forehead,  oppres- 
sion of  the  chest,  difficulty  of  breathing,  a feeling  of  dryness  or 
sensation  of  fullness  in  the  nose,  sneezing,  eyes  watery  and  red, 
throat  sore,  constant  dry  cough,  hoarseness,  thirst,  chills  and  a 
desire  to  go  near  the  fire. 

In  a short  time  water  begins  to  run  from  the  eyes  and  nose, 
cough  increases,  the  patient  is  always  worse  at  night,  with  fever, 
|uick  pulse,  severe  pains  in  various  parts  of  the  body,  with  expec- 
toration, which  at  first  is  thin  and  white,  becoming  yellowish  and 
thick,  the  cough  being  much  less.  Accompanying  the  disease, 
there  is  also  aching  in  the  limbs  and  body,  loss  of  appetite,  thirst, 
flushes  of  heat,  accompanied  with  chilliness.  When  the  inflam- 
mation is  confined  to  the  nose  there  i3  sneezing,  and  a fullness  and 
heat  of  the  part,  accompanied  by  a thin  discharge. 

HOMEOPATHIC. 

Camphor.  — When  taken  at  the  beginning  of  the  disease  will 
sometimes  cut  it  short.  If  the  Tincture  of  Camphor  is  used,  three 
or  four  drops  should  be  dissolved  in  half  a cup  of  water,  a tea- 
spoonful being  taken  at  a dose. 

Arsenic.  — May  be  given  generally  at  the  commencement  of  the 
disease  when  there  is  not  much  fever,  heat  or  thirst  — the  patient 
drinking  often,  restless,  the  discharge  acrid  and  corrosive,  soreness 
and  a violent  burning  of  the  nose  internally  and  externally. 

Mercury.  — Particularly  in  the  commencement,  when  the  head 
symptoms  are  prominent  ; such  as  running  of  the  nose  and  sneezing, 
pains  in  the  head  and  body,  red  watery  eyes,  loose  cough  with  pro- 
fuse perspiration. 

Bryonia.  — May  be  given  in  alternation  with  Aconite  every  two 
or  three  hours,  when  there  is  hot,  dry  skin,  with  hard  shaking 
cough,  and  stitching  pains  in  the  chest.  * 

Belladonna  and  Aconite.  — In  alternation  if  the  cough  is  dry  and 
spasmodic,  with  severe  headache  and  dryness  in  the  throat  and 
mouth . 


216 


CTO  FAMILY  PHYSICIAH. 


Hepar  Sulphur.  — If  the  cold  lias  been  better  but  is  getting  worse, 
y>r  if  the  patient  has  taken  much  Calomel  ; cough  renewed  by 
every  breath  of  wind. 

Phosphorus  and  Tartar  Emetic . — These  may  be  given  in  alterna- 
tion, if  there  is  oppression  of  the  lungs,  accompanied  with  a 
weak  and  sore  feeling  in  them,  — when  there  is  rattling  in  the 
chest  in  coughing  or  breathing. 

Pulsatilla.  — After  Mercury,  or  in  alternation  with  it  every  three 
or  four  hours  — cough  loose,  discharges  from  the  nose  yellow  and 
thick,  soreness  of  the  chest  in  the  morning,  sour,  bad  taste  in  the 
mouth. 

Silicea.  — When  the  complaint  is  chronic  and  returns  frequently. 

Euphrasia. — When  there  is  a discharge  of  white  mucus  from 
the  nose,  the  eyes  being  sore  and  running  water  profusely. 

Administration  of  Remedies.  — Of  the  selected  remedy  dissolve 
twelve  globules  in  twelve  teaspoonfuls  of  water,  and  give  a dose 
every  one,  two,  or  three  hours,  according  to  the  urgency  of  the 
symptoms.  Of  the  globules,  give  from  three  to  six  at  a dose. 

ALLOPATHIC. 

Warm  mustard  foot-baths  at  night,  followed  by  large  draughts 
of  lemonade,  or  lemonade  taken  cold,  if  there  is  a fever,  together 
with  a dose  of  Citrate  of  Magnesia,  or  Rochelle  salts  or  Senna  tea, 
in  the  morning,  will  generally  suffice  to  break  it  up.  If  the 
bowels  are  costive  the  following  may  be  used  : 

Compound  Powder  of  Jalap,  - - - 1 ounce. 

Cream  of  Tartar,  ------  1 “ 

Mix.  Dose  a teaspoonful  in  sweetened  water. 

When  the  attack  is  severe  the  patient  should  be  put  in  bed, 
bottles  of  hot  water  being  placed  at  the  feet  and  sides,  and  given 
drinks  of  Peppermint,  Pennyroyal  or  Sage. 

Five  drops  every  hour  qf  the  Tincture  of  Veratrtim  Viride  will 
often  cause  free  perspiration.  If  the  cough  is  severe  the  prescrip- 
tions recommended  in  Bronchitis  will  be  beneficial. 

If  in  the  latter  stages  of  the  disease  there  be  much  debility  the 
following  may  be  used : 

Citrate  of  Iron,  .....  1 drachm. 

Sulphate  of  Quinine,  ....  1 scruple. 

Extract  of  Nux  Vomica,  - - - 8 grains. 

Mix.  Make  into  thirty- two  pills  and  take  one  pill  three  times  a 
day.  An  attack  of  Influenza  may  sometimes  be  relieved,  in  a day 
or  two,  by  giving  Quinine  in  four  grain  doses  three  times  a day. 

When  the  patient  is  old  and  feeble,  the  following  may  be  given  : 


GENERAL  DISEASES. 


21 T 


Infusion  of  Gentian,  ounces. 

Sesquicarbonate  of  Ammonia.  - - \ drachm. 

Compound  Tincture  of  Cardamon,  - - \ ounce. 

Mix.  Dose,  two  tablespoonfuls  two  or  three  times  a day. 

The  diet  should  be  nutritious  and  not  stimulating  — consisting 
of  broths,  Arrowroot,  Sago  and  Jelly,  with  a portion  of  wine. 

ECLECTIC  AND  HERBAL. 

When  the  attack  is  mild,  but  little  medicine  will  be  required. 
It  will  be  sufficient  to  bathe  the  feet,  the  patient  being  confined  to 
the  bed,  and  allowed  to  drink  freely  of  Barley  water,  thin  gruel 
and  warm  Lemonade.  If  there  is  much  difficulty  in  breathing, 
give  once  in  a while  a teaspoonful  of  either  Tincture  of  Lobelia, 
or  Tincture  of  Blood  root,  or  Wine  of  Ipecac.  For  the  cough 
and  sore  throat  give  the  following : 

Good  Vinegar,  .....  l teacupful. 

Honey,  - - • - - - - ' J-  teacupful. 

Cayenne,  ......  I teaspoonful. 

Simmer  over  a fire  a few  minutes,  and  when  cold  give  a tea- 
spoonful occasionally  or  whenever  the  cough  is  troublesome. 

A dose  of  the  Compound  Tincture  of  Virginia  Snake  root  may 
be  given  every  hour  or  two,  to  promote  perspiration,  the  patient 
oeing  allowed  to  drink  freely  of  the  teas  of  Boneset,  Hoarhound, 
or  Sage. 

Cough. 

This  is,  in  most  cases,  only  a symptom  of  some  other  disease,  as 
Pneumonia,  Bronchitis,  Influenza,  etc.,  and  for  the  treatment  of  it 
in  such  a case,  refer  to  the  treatment  of  these  diseases  in  their 
respective  chapters. 

Sometimes,  however,  the  case  is  separate  from  any  marked  dis- 
ease, and  is  caused  by  simple  Catarrh,  or  derangement  of  some 
organ,  making  it  a nervous,  or  spasmodic  Cough. 

TREATMENT. ALLOPATHIC. 

The  following  is  a good  cough  syrup  : 

Honey,  - 4 ounces. 

Molasses,  4 ounces. 

Vinegar, 4 ounces. 

Let  them  simmer  gently  in  an  earthen  vessel,  over  the  fire,  for 
a few  minutes,  stirring  them  well  together.  Then  add  : 


218 


OUR  FAMILY  PHYSICIAN. 


Compound  Tincture  of  Camphor,  - 
Ipecac  Wine,  ------ 

Mix  well.  A dose  every  four  hours. 

Or  this: 

Tincture  of  Bloodroot,  - - — 

Syrup  of  Tolu,  - - - - 

Mucilage  of  Gum  Arabic,  - - 

Diluted  Hydro-cyanic  Acid,  - - 

Sulphate  of  Morphine,  - - - 

Mix.  Dose,  a teaspoonful  every  four  hours. 

When  external  application  is  desired,  nothing  imparts  relief 
more  certainly  and  speedily  than  Benson’s  Capcine  Plasters,  applied 
to  the  chest  and  to  the  back,  between  the  shoulders.  These  plas- 
ters are  made  by  Seabury  & Johnson,  of  New  York,  but  can  be 
procured  at  any  drugstore. 


A dessertspoonful. 
A dessertspoonful. 


2 drachms. 

1 ounce. 

3 ounces. 
40  drops. 

2 grains. 


ECLECTIC  AND  HERBAL. 

Syrup  of  Squills,  - - - £ ounce. 

Syrup  of  Ipecac,  - - - — \ “ 

Tincure  of  Blood  Boot,  — — - \ “ 

Paregoric,  - — — — — 

Mix.  Dose,  from  a half  teaspoonful  to  a teaspoonful,  whenever 
the  cough  is  troublesome. 

HOMEOPATHIC. 


Aconite. — When  the  cough  is  violent,  short  and  dry,  especially 
at  night,  accompanied  by  tickling  in  the  throat,  and  a constriction 
of  or  stinging  pains  in  the  chest,  together  with  difficulty  of  breath- 
ing. 

Bryonia  and  Rhus  Tox. — A dose  alternately  every  two  hours, 
if  there  are  pains  in  the  head  and  limbs,  chilliness,  and  thirst. 

Bryonia. — Dry  cough,  and  irritation  in  the  throat,  or  with  pain 
in  the  chest,  worse  in  the  open  air ; when  the  cough  arises  from 
taking  cold  in  damp  or  frosty  weather;  cough  loose  with  yellow- 
ish expectoration,  or  spasmodic  action  after  eating  or  drinking. 

Belladonna. — Throat  dry,  cough,  particularly  at  night,  worse  on 
moving,  tickling  in  the  throat  and  sensation  as  though  some  for- 
eign substance  were  in  the  windpipe,  heat  and  readness  of  the  face, 
fullness  and  pain  in  the  head,  pain  in  the  back  of  the  neck,  sharp, 
cutting  and  griping  pains  in  the  bowels. 

Hyosciamus. — Is  particularly  of  service  when  Belladonna  affords 
but  partial  relief,  especially  when  the  cough  is  dry  and  tickling 
and  relieved  by  sitting  up  in  bed. 

Chamomilla. — Cough  arising  from  tickling  in  the  pit  of  the 
throat,  and  extending  down  to  the  breast  bone,  especially  when 
talking  ; wheezing,  sensation  as  of  something  rising  in  the  throat 


GENERAL  DISEASES. 


219 


find  taking  away  the  breath,  cough  after  midnight,  chilliness,  pale 
ness  of  one  cheek  and  redness  in  the  other. 

Ignatia. — Dry  cough  with  running  at  the  nose,  day  and  night 
short,  hacking  cough  as  if  from  tickling  with  a feather,  nightly 
cough  which  becomes  worse  after  eating,  or  lying  down  at  night 
or  rising  in  the  morning. 

Ipecac.  — Nervous  and  spasmodic  cough,  especially  at  night,  nau 
sea,  gagging  and  vomiting,  attended  by  pain  in  the  abdomen,  cough 
worse  at  night,  or  when  wajking  in  the  cold  air,  oppressed  breath 
ing  as  though  the  lungs  were  filled  with  mucus. 

Mercurius . — Dry  convulsive  cough  particularly  increased  by  talk 
ing,  pain  in  the  head  and  chest  when  talking,  hoarse  cough  with 
watery  secretion  from  the  nose  and  mouth,  or  with  watery  diarrhoea 

Nux  Vomica.  — Tickling  cough,  worse  early  in  the  morning, 
tough  mucous  in  the  throat  and  lungs,  with  a tickling  sensation  in 
the  throat,  and  chilliness,  cough  excited  by  tickling  or  scraping,  or 
with’  a feeling  of  roughness  or  soreness,  followed  by  stinging  pains , 
and  expectoration  of  sticky  mucus,  sometimes  streaked  with  blood, 
cough  worse  by  movement,  sometimes  followed  by  retching  or  vom- 
iting, fatiguing  cough,  with  pains  in  the  head  as  though  it  would 
burst,  a bruised  sensation  at  the  pit  of  the  stomach,  cough  dry  dur- 
ing the  after  part  of  the  day,  or  night,  pressure  on  the  chest  as  if 
from  a weight. 

Phosphorus.  — Dry  cough  from  irritation  of  the  throat,  or  sting- 
ing pain  in  the  chest,  worse  when  lying  on  the  left  side,  or  during 
motion,  tickling  in  the  throat,  but  more  in  the  chest,  hoarseness  or 
pain  in  the  chest  as  if  from  rawness,  or  cough  excited  by  lying  on 
the  left  side,  roughness,  fullness  and  tightness  in  the  chest. 

Pulsatilla.  — Cough  with  easy  expectoration  of  mucus,  severe 
choking  and  dry  cough  mostly  in  the  morning,  with  inclination  to 
vomit,  loose  cough  with  salty,  bitter,  disgusting  expectorations 
sometimes  streaked  with  blood. 

Tartar  Emetic.  — Hollow  rattling  cough,  cough  with  nausea  and 
vomiting,  cough  with  rattling  of  mucus  in  the  chest,  rapid  and  dif- 
ficult breathing. 

Lycopodium.  — Cough  worse  in  the  night  and  after  drinking,  a 
tickling  cough  excited  by  drawing  a deep  breath,  stitches  in  the 
left  side  of  the  chest. 

Administration  of  Remedies.  — Dissolve  twelve  globules  in  as 
many  teaspoonfuls  of  water,  and  give  a teaspoonful  every  hour,  two 
or  three  hours  according  to  the  urgency  of  the  symptoms.  If  glob- 
ules are  used  give  three  to  six  at  a dose. 

Diet.  — Patients  suffering  from  cough,  particularly  if  it  be  chron- 
ic, should  live  on  good,  plain,  substantial  diet,  avoiding  all  rich, 
highly  seasoned  food,  new  bread,  fat  meats,  beer,  etc.  The  person 


220 


OUR  FAMILY  PHYSICIAN. 


should  exercise  in  the  open  air,  freely,  drawing  large  quantities 
into  the  lungs,  and  then  beating  the  chest  with  the  hand.  Daily 
bathing  with  cold  water,  is  one  of  the  best  means  of  overcoming  a 
predisposition  to  coughs  and  colds.  When  the  cough  is  very  dry, 
a warm  water  compress  over  the  whole  of  the  chest  removing  it  as 
it  becomes  cold,  will  sometimes  relieve.  If  possible  let  the  patient 
drink  freely  of  cold  water  when  retiring  at  night. 

Inflammation  of  the  Lungs,  {Pneumonia.) 

This  is  an  inflammation  of  the  substance  of  the  lungs,  and  is 
sometimes  called  lung  fever.  It  is  very  apt  to  be  complicated  with 
pleurisy,  or  bronchitis.  Pneumonia  may  be  either  single  or  double, 
that  is,  one  lung  may  be  affected,  or  both.  It  is  more  common 
upon  the  right  side,  than  upon  the  left. 

Symptoms.  — Pneumonia  generally  commences,  as  all  inflamma- 
tory diseases  do,  with  a chill  or  shivering,  followed  by  fever,  pain 
on  one  side  of  the  chest,  difficulty  of  breathing,  cough,  frequent 
pulse,  breathing  quick,  and  pain,  sometimes  sharp  like  a stitch  in 
the  side.  The  patient  cannot  lie  on  the  affected  side,  on  account 
of  the  pain,  and  the  breathing  is  more  difficult  when  he  lies  on  the 
opposite  side,  hence  he  lies  mostly  on  the  back.  A dry,  painful 
cough  is  present  from  the  beginning,  but  sometimes  it  is  moist,  and 
the  expectoration  is  white  and  transparent  becoming  afterwards 
rust  colored,  or  streaked  with  blood.  The  skin  is  dry,  and  there  is 
thirst,  flushed  face,  and  anxiety.  The  inflammation  generally 
reaches  its  height  about  the  fifth  or  sixth  day,  and  the  symptoms 
remain  stationary  for  one  or  two  days,  and  then  begin  to  subside, 
and  the  patient  finally  recovers.  If  pneumonia  ends  unfavorably, 
the  patient  lingers  along  for  a great  while,  and  the  symptoms 
gradually  grow  worse  until  death  ends  his  sufferings. 

Sometimes  inflammation  of  the  lungs  appears  as  an  epidemic,  in 
which  case  it  is  very  apt  to  assume  a malignant  form,  and  become 
typhoid  pneumonia.  The  symptoms  are  similar  to  those  of  simple 
pneumonia,  with  the  exception  of  the  low  condition  of  the  system, 
which  is  present.  The  inflammation  is,  however,  of  a less  acute 
character  than  pneumonia.  As  the  disease  progresses,  the  active 


GENERAL  DISEASES. 


221 


symptoms  of  pneumonia  disappear,  and  the  patient  lies  in  a drowsy 
state,  or  stupor  comes  on,  the  skin  becomes  harsh  and  dry,  and  the 
tip  and  edges  of  the  tongue  present  a very  red  appearance,  while 
the  upper  surface  will  be  coated  with  a yellowish  or  brownish  fur. 
The  bowels  swell  and  are  very  tender. 

Causes.  — : Cold  is  generally  the  exciting  cause  ; hence  you  will 
find  pneumonia  more  frequent  during  the  winter  than  during  the 
summer  months.  A severe  blow,  or  fall  upon  the  chest,  and  the 
inhalation  of  irritating  vapors  may  also  produce  it. 

GENERAL  TREATMENT. 

The  patient  should  be  confined  to  a well  ventilated  room,  the 
temperature  of  which  should  be  moderate,  not  too  warm,  or  too 
cold.  Care  should  be  taken  that  he  is  not  exposed  to  draughts  of 
air. 

ECLECTIC  AND  HERBAL. 

The  patient  should  sit  for  half  an  hour  with  his  feet  and  legs  in 
warm  water,  and  drink  some  teas,  as  composition,  sage,  or  penny- 
royal. It  is  well  to  administer  an  emetic,  at  the  commencement ; 
the  compound  powder  of  lobelia  may  be  administered  to  an  adult, 
and  the  compound  tincture  of  lobelia  to  a child.  The  emetic 
should  be  administered  before  the  sweating  is  produced.  It  is 
recommended  that  a quantity  of  bitter  herbs,  as  hoarhound,  tansy, 
hops,  boneset,  smartweed,  and  peach  leaves,  a handful  of  each, 
should  be  boiled  in  a vessel  over  a fire,  and  the  patient  should  be 
stripped  and  set  over  this  vessel,  with  a blanket  thrown  around  his 
shoulders,  so  that  it  can  fall  to  the  floor  around  him,  thus  confining 
the  steam  and  allowing  it  to  come  in  contact  with  his  body.  This 
should  be  continued  for  half  an  hour,  occasionally  throwing  into 
the  vessel  a hot  brick,  to  keep  the  water  warm  and  steaming.  He 
should  then  be  wiped  off  quickly,  and  put  into  bed,  and  given  an 
emetic.  The  emetic  may  be  composed  of  equal  parts  of  powdered 
lobelia,  sage,  bloodroot,  and  ipecac.  Take  a large  spoonful  of  this 
compound,  and  pour  on  it  a pint  of  hot  water,  stir,  and  let  it  stand 
fifteen  minutes,  and  then  give  half  a teacupful  every  five  or  ten 
minutes,  until  the  patient  is  thoroughly  vomited,  at  the  same  time 
he  should  drink  freely  of  teas  of  pennyroyal,  sage,  or  boneset. 
After  the  emetic  has  operated,  it  is  well  to  surround  the  patient 
with  hot  bricks,  keeping  him  well  covered,  and  continuing  the 
warm  tea  occasionally,  and  let  him  sweat.  This  may  be  continued 
for  several  hours.  He  should  then  be  wiped  dry,  furnished  with 
dry  clothing,  and  allowed  to  sleep.  As  there  is  generally  more  or 


222 


OUR  FAMILY  PHYSICIAN. 


less  derangement  of  the  liver,  it  will  sometimes  be  necessary  to 
administer  a purgative.  The  following  may  be  used  : 

Podophyllin,  .....  i grain. 

Leptandrin,  - - - - * - 2 grains. 

Give  at  one  dose,  and  repeat  every  three  or  four  hours  until  free 
action  is  produced.  If  the  pain  in  the  chest  continues  after  this, 
hot  poultices  of  bitter  herbs,  as  hops,  tansy,  and  wormwood,  must 
be  placed  over  the  chest  as  hot  as  can  be  borne,  and  changed  every 
hour  or  two.  In  case  the  symptoms  of  fever  are  very  severe,  the 
following  is  recommended  : 

Tincture  of  Gelseminum,  - - 4 drachms. 

Tincture  of  Aconite,  - - - - 24  drops. 

Mix.  Dose,  thirty  drops  every  half  hour  or  hour  until  the  patient 
is  relieved. 


To  relieve  the  cough,  and  the  difficulty  of  breathing,  the  follow- 
ing may  be  used  : 

Pulverized  Lobelia  seed,  ...  l ounce. 

Blood  root,  ......  l u 

Ipecac,  ......  2 ounces. 

Cayenne,  ......  ^ ounce. 

Whiskey,  ......  1 quart. 

This  should  be  allowed  to  stand  one  or  two  weeks  before  using. 
Dose,  a teaspoonful  every  hour. 


The  following  may  also  be  used  for  the  cough  : 


Syrup  Senega, 

- 

. 

1 ounce. 

“ Squills,  - 

• 

- 

• 1 “ 

Tincture  Lobelia,  - 

- 

. 

1 “ 

Mix.  Dose,  a teaspoonful  every  hour  oi  two. 


As  the  inflammation  subsides,  and  the  patient  feels  weak,  tonics 
will  be  required.  Sulphate  of  Quinine  may  be  given  in  doses  of 
two  or  three  grains,  three  times  a day  ; or  porter,  wine,  or  wine 
whey.  If  there  is  cough  remaining  after  the  disease  is  subdued, 
the  following  may  be  used  : 

Balsam  Tolu,  and  gum  Arabic,  each,  half  a pound,  and  cider 
vinegar,  one  gallon.  Dissolve  the  balsam  and  gum  in  the  vinegar 
by  means  of  heat,  and  add  sugar,  six  pounds.  When  all  is  dis- 
solved, remove  from  the  fire,  then  add  laudanum,  eighteen  ounces. 
Dose,  a teaspoonful  three  or  four  times  a day. 

In  typhoid  pneumonia,  the  treatment  will  be  similar  to  that  for 
simple  pneumonia  as  well  as  for  typhoid  fever.  The  skin,  instead 
of  being  hot,  in  this  form  of  the  disease,  is  generally  cold  ; there- 


GENERAL  DISEASES. 


223 


fore  the  feet  and  legs  should  be  bathed  frequently  in  warm  lje 
water.  Dover’s  powders  may  be  given,  or  the  following,  in  addi- 
tion to  the  other  medicines,  mentioned  under  pneumonia : 


Pulverized  Ipecac,  .... 
Pulverized  gum  camphor, 

Carbonate  ammonia, 

Pulverized  opium,  ----- 

Rub  well  together  in  a mortar,  and  give  about 
dose  every  three  or  four  hours. 


2 drachms. 

2 “ 

2 “ 
drachm. 

eight  grains  at  a 


HOMEOPATHIC. 

Aconite  should  be  given  at  the  commencement,  either  alone,  or 
in  alternation  with  Bryonia,  especially  when  the  fever  is  high,  and 
the  pain  in  the  chest  is  severe.  The  pain  is  rendered  worse  by 
movement,  or  coughing,  the  expectoration  is  bloody,  and  of  the 
color  of  brick  dust,  tongue  coated,  great  thirst.  These  remedies 
should  be  given  in  alternation,  (turn  about)  every  half  hour,  or 
hour,  a teaspoonful,  until  the  patient  is  better.  Belladonna  may 
be  given,  either  alone,  or  in  alternation  with  Aconite,  if  the  fever 
still  increases,  and  there  is  considerable  congestion  of  the  head, 
with  violent  beating  of  the  arteries  of  the  neck  and  temples. 

Phosphorus.  — This  is  a valuable  remedy  in  severe  cases  ; may  pre- 
cede Bryonia  and  Belladonna,  either  alone  or  in  alternation  with 
Aconite,  and  especially,  if  the  following  symptoms  are  present : A 
short,  hacking  cough,  especially  in  the  evening,  with  a sense  of  suffo- 
cation, little,  or  no  expectoration  ; severe  pain  in  the  chest ; heavi- 
ness, fullness,  and  tightness,  as  though  "a  band  were  drawn  around 
the  chest,  great  prostration,  fullness  of  the  face  ; stitches  in  the 
side,  especially  in  the  left,  picking  at  the  bed  clothes  ; pulse  small 
and  quick.  Tartar  Emetic  may  be  given  in  alternation  (turn  about) 
with  Phosphorus,  especially  when  Aconite  and  Bryonia  do  not 
relieve  ; also  when  there  is  great  repression  of  breathing  and  cough  ; 
the  cough  is  loose  with  profuse  expectoration,  hollow  and  rattling; 
little  or  no  pain;  nausea  and  vomiting,  especially  after  coughing. 

Pulsatilla.  — Difficulty  of  breathing,  especially  when  lying  upon 
the  back.  Particularly  good  for  children  when  there  is  regular;  short 
coughing,  hoarseness,  and  heaviness  of  the  chest. 

Mercurius.  — When  Aconite  has  diminished  the  fever,  but  there 
is  still  difficulty  of  breathing,  and  the  patient  is  exhausted  by  night 
sweats. 

In  typhoid  pneumonia,  China  may  be  used,  especially  when  the 
patient  is  much  reduced  by  loss  of  blood,  and  when  the  following 
symptoms  are  present  — Pressure  in  the  chest,  stitches  in  the  breast 
and  sid es  , palpitation  of  the  heart  when  breathing  and  coughing  ; 
great  weakness,  pulse  thin  and  quick.  If  this  does  not  relieve 


224 


OUR  FAMILY  PHYSICIAN. 


after  having  used  several  hours,  Rhus  Tox,  may  be  given  in  alter* 
nation  with  it. 

Opium . — When  there  is  great  drowsiness,  with  scoring  breath- 
ing, low  mutterings,  picking  at  the  bed  clothes,  and  discharges  pass- 
ing without  the  knowledge  of  the  patient. 

Ilyosciamus . — When  the  cough  is  very  irritating  and  spasmodic, 
face  red  and  hot  ; eyes  sparkling  ; tongue  dry  and  brownish. 

Veratrum.  — If  the  pulse  is  very  small  and  weak,  the  limbs  cold, 
delirium,  vomiting,  diarrhoea,  and  rapid  sinking  of  strength. 

Arnica . — May  be  given  for  the  same  symptoms  as  Opium,  but 
when  there  is  no  delirium.  Camphor  and  Coffea  in  alternate  doses 
if  the  patient  is  sinking  rapidly,  with  cold  limbs,  and  delirium  ; and 
particularly  if  he  is  covered  with  cold  perspiration. 

Administration  of  Remedies.  — Of  the  selected  remedy  dissolve 
twelve  globules  in  as  many  spoonfuls  of  water,  and  give  a teaspoon- 
ful every  hour,  two,  three,  or  four  hours,  according  to  the  sever 
ity  of  the  symptoms.  The  diet  should  be  plain,  consisting  of  eas- 
ily digested  substances,  such  as  gruel,  etc.  It  is  well  to  use  a poul- 
tice of  hot  corn  meal,  applied  to  the  chest.  This  must  be  continued 
until  the  patient  is  decidedly  relieved. 

ALLOPATHIC. 


The  first  thing  to  be  given  is  an  emetic,  of  tartar  emetic  or  ipe- 
cac ; this  should  be  followed  by  a purgative,  as  Epsom  salts,  or 
citrate  of  magnesia.  Compound  tincture  of  Virginia  snakeroot 
may  be  given  to  produce  sweating,  at  the  same  time  applying  bot- 
tles of  hot  water  to  the  sides,  and  around  the  body.  If  the  fever 
be  high  and  the  pulse  rapid,  it  is  better  to  promote  sweating,  by 
using  the  tincture  of  veratrum  viride,  in  doses  of  from  three  to 
ten  drops  every  hour.  The  wine  of  ipecac  may  be  given  in  doses 
of  twenty  drops  every  two  or  three  hours  in  a tahlespoonful  of 
water  ; or  the  following  : 

Nitrate  of  potassa,  .... 

Gum  arabic,  or  white  sugar, 

Divide  into  twelve  powders  and  take  one  every  two  or  three 
hours.  A mustard  poultice  should  be  applied  to  the  chest  from 
the  commencement.  For  the  cough  after  the  fever  has  subsided, 
the  following  may  be  used  : 

Syrup  of  Tolu,  .....  1 

Syrup  of  Squills,  - - • * ^ 

Wine  of  Ipecac,  -----  2 

Paregoric,  ......  3 

Mucilage  of  gum  arabic,  - - - 1£  ounces. 

Mix  Dose,  a teaspoonful  occasionally. 


2 drachms. 
2 


ounce. 


drachms. 


GENERAL  DISEASES. 


225 


Should  the  patient  be  feeble  and  low,  when  the 


the  following  should  be  used  : 

Bicarbonate  of  Soda,  - 

Compound  infusion  of  Gentian,  - - -4 

Tincture  of  Colombo,  1 

Syrup  of  orange  peel,  - - * - 1 


Mix.  Dose,  a tablespoonful  three  times  a day. 


fever  is  gone, 

ounce. 

drachms. 

ounce. 

u 


Or  this : 


Muriated  tincture  of  Iron,  1 ounce. 

Bose  water,  - . - - - - 6 ounces 

Syrup  of  orange  peel,  1 ounce. 


Mix.  Dose,  one  teaspoonful  in  a wine  glass  of  water  after  each 
meal. 


In  treatment  of  typhoid  pneumonia,  the  following  may  be  used  : 

Ipecac  and  Calomel,  each,  6 grains. 

Nitrate  of  Potassa,  - - - - £ or  1 drachm. 

Mix,  and  divide  into  twelve  powders,  and  take  a powder  every 
three  hours. 


Or  this  : 

Acetate  of  Potassa,  5^  drachm#. 

Sweet  Spirits  of  Nitre,  ...  2 “ 

Water  enough  to  make  eight  ounces,  dissolve,  and  take  a table- 
spoonful  every  three,  or  four  hours. 

The  following  is  an  excellent  tonio  : 

Carbonate  of  Iron,  ....  i drachm. 

Pulverized  Rhubarb,  • - - ' i u 

Pulverized  Aloes,  ....  J “ 

Extract  of  Hops, b “ 

Mix,  and  make  into  thirty  pills.  Dose,  one  pill  three  times  a 
day. 


Or  this : 

Quinine,  .... 

1 scruple. 

Sulphuric  acid, 

5 drops. 

Alcohol,  .... 

4 ounces. 

Mix.  Dose,  a teaspoonful  three  times  a day. 

The  cough  should  be  kept  loose  by  drinking  freely  of  flax  seed, 
slippery  elm,  or  marsh  mallow  tea,  at  the  same  time,  using  a plas 
ter  on  the  chest. 

* 15 


226 


OUR  FAMILY  PHYSICIAN. 


Pneumonia  in  Old  People. 

This  should  be  treated  in  very  much  the  same  way  as  typhoid 
pneumonia. 

Pleurisy,  ( Pleuritis .) 

This  is  an  inflammation  of  the  pleura,  or  membrane  which  lines 
the  chest,  and  alsc  forms  a sack  which  envelopes  the  lungs.  It 
may  occur  at  any  season,  but  is  more  generally  found  in  the  spring 
and  winter. 

Symptoms. — Pleurisy,  like  other  fevers,  generally  commences 
with  a chill,  followed  by  heat,  thirst,  and  other  symptoms  of  fever. 
These  symptoms  are  soon  followed  by  a very  sharp  stabbing  pain 
in  the  chest,  wThich  is  much  aggravated  by  taking  a full  breath, 
and  is  accompanied  with  hurried  and  difficult  breathing,  and  a dry, 
hacking  cough ; coughing,  breathing,  moving  about,  lying  upon  the 
affected  side,  and  pressing  upon  the  chest  increase  the  pain.  This 
pain  lasts  generally,  three  or  four  days,  and  then  subsides. 

Causes.  — Sudden  cold  coming  in  contact  with  the  body,  blows 
or  falls  upon  the  chest,  suppression  of  certain  discharges  ; the  driv- 
ing in  of  eruptive  diseases.  Pleurisy  may  be  either  acute,  or 
chronic.  Chronic  pleurisy  generally  follows  an  acute  attack. 

iomeopathic. 

Aconite  and  Bryonia.  — Are  the  two  principal  remedies  for  this 
disease,  and  in  the  majority  of  cases  will  be  all  that  is  necessary 
to  effect  a cure.  The  Aconite  is  especially  indicated  by  the  fol- 
lowing symptoms:  hot  skin,  high  fever,  quick  and  full  pulse,  and 
great  thirst.  Bryonia  especially  when  the  following  symptoms  are 
present:  cheeks  flushed  and  hot,  dry,  or  moist,  the  breathing  short 
and  rapid,  pulse  full  and  quick,  stinging,  shooting,  or  burning  pains 
in  the  side,  whicli  are  aggravated  by  breathing,  coughing,  and 
movement ; breathing  short,  anxious  and  difficult,  sense  of  tightness 
ami  oppression  at  the  chest,  painful  cough,  either  moist  or  dry, 
great  heat  of  skin,  alternating  with  frequent  coldness  or  shivering, 
pain  worse  on  pressure. 

Mercurius.  — This  remedy  may  be  given  after  the  fever  has  been 
subdued  with  other  remedies,  but  there  still  remain  night  sweats, 
and  more  or  less  difficulty  and  shortness  of  breath. 


GENERAL  DISEASES. 


227 


Tartar  Emetic.  — Face  flushed,  hot  and  dry,  or  full  and  anxious, 
and  covered  with  sweat.  Pulse  quick  and  weak,  or  full  ; breathing 
short  and  difficult,  and  attended  with  stinging,  or  shooting  pains, 
cough  with  expectoration  of  mucus,  sometimes  tinged  with  blood, 
violent  beating  of  the  heart,  debility  and  weakness,  sense  of 
suffocation. 

Phosphorus.  — Countenance  pale,  or  sometimes  red,  eyes  hollow 
and  surrounded  by  a black  circle,  expectoration  bloody  ; sharp, 
shooting  pains  in  the  chest,  mostly  on  the  left  side,  breathing  rapid 
and  difficult,  sharp  pain  on  pressing  between  the  ribs,  palpitation 
of  the  heart. 

Arnica.  — Should  be  given  when  the  disease  is  caused  by  blows 
or  falls  upon  the  chest.  If  the  patient  is  sleepless  and  restless  at 
night,  give  Coffea  and  Belladonna  in  alternation  (turn  about)  every 
hour. 

Arsenicum. — If  there  is  a collection  of  water  in  the  chest,  and 
great  weakness. 

Administration  of  Remedies.  — Of  the  chosen  remedy,  dissolve 
twelve  globules  in  twelve  teaspoonfuls  of  water,  and  give  a tea- 
spoonful  every  hour,  or  every  two  hours,  according  to  the  severity 
of  the  symptoms,  unless  other  directions  are  given  with  the  rem- 
edies. The  diet  should  be  the  same  as  in  pneumonia. 

ALLOPATHIC. 

Bleeding  should  be  resorted  to  in  the  commencement  of  this 
disease  and  should  be  pushed  to  the  extent  of  the  patient’s  endurance, 
and  repeated  several  -times.  The  compound  tincture  of  Virginia 
snake  root  may  be  given  in  teaspoonful  doses  every  half  hour,  to 
cause  sweating.  This  will  generally  give  immediate  relief.  It 
may  be  given  in  an  infusion  of  catnip,  balm,  or  pleurisy  root,  at  the 
same  time  using  warm  applications  to  the  affected  side,  of  hops, 
tansy,  or  wormwood.  If  this  does  not  afford  relief,  give  an  emetic 
of  the  compound  powder  of  Lobelia,  and  follow  it  with  this  pre- 


scription  : 

Pulv.  Gamboge, 

12  grains. 

Pulv.  Scammony, 

- 

* 12  grains. 

Elaterium, 

• 

2 grains. 

Croton  Oil, 

- 

8 drops. 

3 grains. 

Extract  Stramonium, 

. • - 

Mix,  and  make  twelve  pills.  Dose,  one  pill  every  hour  until  it 
operates.  In  some  cases  after  the  patient  has  been  purged  with 
Epsom  Salts,  or  salts  and  senna,  tartar  emetic  may  be  given  in 
doses  of  from  one-eighth  to  one-quarter  of  a grain,  with  one-half  to 
one  grain  of  opium,  every  two  or  three  hours. 


228 


OUR  FAMILY  PHYSICIAN. 


Or  the  following  : 

Calomel,  - 6 grains. 

Opium,  4 grains. 

Tartar  emetic, Ingrains. 

Mix,  and  divide  into  twelve  powders.  Take  one  every  two  or 
three  hours  in  water.  As  the  fever  occurs,  the  tartar  emetic  should 
be  omitted,  and  the  opium  continued  while  the  pain  lasts.  To 
hasten  the  drying  up  of  the  fluid  within  the  pleura,  the  following 
may  be  used  : 

Powder  of  Squills,  ....  ^ drachm. 

Powder  of  Digitalis,  - - - - 8 to  16  Grains, 

Mix,  and  divide  into  sixteen  pills,  and  take  one  three  times  a 
day. 

The  compound  spirit  of  juniper  may  be  taken  three  times  a day 
in  doses  of  one  or  two  teaspoonfuls  in  a wine-glass  of  water. 
Especially  good  in  feeble  cases. 

ECLECTIC  AND  HERBAL. 

In  the  first  place  give  a teaspoonful  dose  of  tincture  of  Lobelia, 
and  No.  6,  equal  parts  ; repeat  it  every  ten  minutes  until  four  or 
five  doses  are  taken.  If  the  No.  6 can  not  be  procured,  tincture 
of  Cayenne  may  be  used.  The  patient  should  bathe  his  feet  in 
warm  water,  and  at  the  same  time  drink  teas  of  equal  parts  of 
boneset,  blood  root,  and  pleurisy  root.  An  emetic  should  be  given 
at  this  stage  composed  of  equal  parts  of  Lobelia,  and  Ipecac,  given 
in  the  above  named  tea.  If,  however,  after  this  treatment,  the 
pain  continues,  and  there  is  considerable  cough,  the  following  may 
be  given  : 

Tincture  ^ I Gelseminum,  ...  4 drachms. 

Tincture  of  Aconite,  - * - 24  drops. 

Mix,  and  give  thirty  drops  every  half  hour  or  hour,  until  the 
patient  is  affected,  when  the  intervals  should  be  lengthened.  In- 
stead of  this,  the  compound  tincture  of  Virginia  snake  root  may  be 
given  in  doses  of  half  a teaspoonful  every  two  or  three  hours,  to 
keep  up  a gentle  perspiration.  If  the  cough  is  severe,  it  may  be 
overcome  by  the  following  preparation  : 

Pleurisy  root  and  wild  cherry  root,  each  two  parts,  and  blood 
root  one  part ; make  an  infusion,  and  administer  in  small  doses  fre- 
quently repeated.  For  chronic  pleurisy,  a mild  emetic  should  be 
given  every  week,  and  the  following  blister  applied  over  the  chest : 

Bergundy  pitch,  and  beeswax,  equal  parts,  and  a little  rosin. 
This  should  be  melted  together,  and  while  warm,  stir  in  a little 
finely  powdered  blood  root,  May  apple  root,  and  poke  root.  This 


GENERAL  DISEASES. 


229 


should  be  spread  on  a piece  of  muslin,  and  applied  warm,  and  al- 
lowed to  remain  for  a week  or  more.  The  iodide  of  potassa  is  an 
excellent  remedy  in  this  complaint.  One  drachm  should  be  dis- 
solved in  four  ounces  of  water,  and  a teaspoonful  taken  once  a day. 

False  Pleurisy,  — (Stitch  in  the  Side.) 

This  resembles  the  real  pleurisy  very  much,  yet  is  different  in 
origin  and  location.  It  is  a rheumatic  affection  of  the  muscles  of 
the  chest,  and  usually  it  is  between  the  ribs.  The  pain  is  increased 
by  drawing  in  a deep  breath,  by  raising  the  arm  above  the  head,  or 
by  walking.  It  is  sometimes  caused  by  exposure  to  cold,  and  some- 
times by  violent  exercise. 

treatment.  — allopathic. 

Warm  applications,  as  mustard  poultices,  or  hot  water  will  gen- 
erally relieve.  Sometimes  the  Aconite  liniment,  or  Aconite  tinc- 
ture will  be  required. 

eclectic  and  herbal. 

The  following  may  be  used  : 

Oil  of  sassafras,  and  oil  of  hemlock,  each,  one  and  a half  ounces  ; 
oil  of  origanum  and  laudanum,  each  one  ounce.  Mix,  and  rub  on 
the  affected  part. 

homeopathic. 

If  there  is  any  fever,  give  one  or  two  doses  of  Aconite  every 
hour,  or  half  hour. 

Arnica. — May  be  given,  a dose  every  two  hours,  either  alone, 
or  in  alternation  with  apis  melliffca. 

Pulsatilla.  — If  the  patient  is  not  relieved  after  giving  the  above 
mentioned  remedies. 

Nux  Vomica.  — Stitch  in  the  side,  with  painful  sensation  on  the 
outside  of  the  chest  on  pressing  between  the  ribs  ; worse  on  draw- 
ing in  the  breath,  or  by  any  movement.  If,  at  any  time  the  patient 
becomes  feverish,  with  pain  in  the  limbs  and  side,  and  head,  give 
Bryonia  and  Rhus  Tox. 

Administration  of  Remedies.  — Give  a dose  (six  globules)  every 
hall  hour  or  two  hours,  or  a solution  of  twelve  globules  in  twelve 
teaspoonfuls  of  water.  Frequently  a mustard  poultice  or  a bag  of 
heated  salt  applied  to  the  affected  part  will  readily  relieve. 


230 


OUR  FAMILY  PHYSICIAN. 


Inflammation  of  the  Heart.  — ( Corditis .) 

Corditis  is  an  inflammation  of  the  substance  of  the  heart.  It 
is,  however,  a rare  affection.  We  generally  find  it  complicated 
with  endocarditis  or  inflammation  of  the  lining  membrane  of  the 
heart  or  pericarditis,  ‘or  inflammation  of  the  membrane  surround- 
ing the  heart.  The  symptoms  of  all  these  diseases  are  very 
similar,  and  the  treatment  is  the  same. 

Symptoms.  — The  disease  usually  commences  with  the  common 
symptoms  of  fever,  as  chills,  heat,  and  dryness  of  the  skin,  thirst, 
and  flushed  face.  These  symptoms  are  followed  by  rapid  and  im- 
perfect breathing,  and  acute  lancinating  pains  in  the  region  of  the 
heart.  These  pains  sometimes  extend  to  the  shoulder,  and  are 
increased  by  motion,  or  on  sitting  up  ; there  is  a sense  of  fullness 
and  oppression  in  the  chest  and  palpitation  of  the  heart,  from  the 
slightest  exertion,  the  beating  of  the  heart  is  violent  and  irregu- 
lar, short,  dry  cough,  breathing  rapid  and  difficult,  features  are 
haggard,  and  there  is  an  expression  of  great  suffering  ; tongue  is 
coated  white,  and  the  bowels  are  constipated  ; the  patient  prefers 
lying  quietly  on  the  back  ; there  is  sometimes  delirium,  and  faint- 
ing spells. 

Causes.  — This  disease  is  caused  generally  by  taking  cold,  by 
wounds  and  blows,  anxiety  or  mortification  ; it  is  frequently  caused 
by  acute  rheumatism  or  gout. 

TREATMENT. ECLECTIC  AND  HERBAL. 

Sweating  should  be  induced  by  giving  the  compound  tincture  of 
Virginia  snake  root,  in  a teaspoonful  dose  every  half  hour  or  hour, 
at  the  same  time  giving  a warm  infusion  of  pleurisy  root.  The 
perspiration  should  be  kept  up  for  two  or  three  hours  or  longer, 
until  the  pain  is  relieved.  If  the  bowels  are  costive  the  compound 
tincture  of  jalap  should  be  given,  adding  ten  grains  of  cream  of 
tartar  to  each  dose.  Mustard  plasters  should  be  applied  to  the 
feet,  and  over  the  region  of  the  heart  on  the  chest,  and  also  over 
the  spinal  column.  If  this  course  does  not  overcome  the  disease 
the  body  should  be  bathed  several  times  a day  in  a warm  solution 
of  lye  water,  at  the  same  time  giving  the  following  : 


GENERAL  DISEASES. 


231 


Tincture  of  Gelseminum,  ...  4 drachms. 

Tincture  of  Aconite  root,  - * - 1 “ 

Mix.  Give  from  fifteen  to  thirty  drops  every  half  hour  or  hour, 
until  the  patient  is  affected  by  it.  An  infusion  of  haircap  moss 
is  valuable  to  assist  in  drying  up  the  fluid  within  the  heart.  For 
restlessness,  or  want  of  sleep,  from  eight  to  ten  grains  of  com- 
pound powder  of  ipecac  and  opium  may  be  given. 

HOMEOPATHIC. 

Aconite  should  be  given  first  in  every  case.  Bryonia  may  also  be 
given  when  there  are  stitching  pains  in  the  chest,  aggravated  by 
breathing  and  motion,  rapid  and  painful  breathing,  dry  and  spas- 
modic cough,  sharp  pain  extending  between  the  shoulders,  and 
back  between  the  shoulder  blades. 

Digitalis.  — Sharp  stitches,  and  contractive  pain  in  the  region 
of  the  heart,  palpitations  of  the  heart  caused  by  talking,  move- 
•rnent,  or  lying  down  ; a sense  of  oppression  and  anguish  in  the 
chest,  frequent  attacks  of  faintness,  general  weakness,  uneasy  sen- 
ation  in  the  left  side  of  the  chest,  often  extending  to  the  shoulder 
and  arm.  Other  remedies  are  Nux  Vomica,  Cocculus,  Arsenic, 
Pulsatilla,  and  Cannabis. 

Administration  of  Remedies.  — Of  the  remedy  selected,  dissolve 
twelve  globules  in  twelve  teaspoonfuls  of  water.  Give  a teaspoon- 
ful every  hour,  two,  three,  or  four  hours,  according  to  the  sever- 
ity of  the  symptoms. 


ALLOPATHIC. 

Where  the  patient  is  robust  and  strong,  bleeding  may  be  resorted 
to  at  the  commencement  of  the  disease.  Where,  however,  the 
patient  is  weak,  leeches  may  be  applied  over  the  region  of  the 
heart,  instead.  A dose  of  Epsom  or  Rochelle  salts,  or  Citrate  of 
magnesia  may  be  given  at  first.  This  may  be  followed  by  half  a 
grain  each  of  calomel  and  opium.  A dose  three  times  a day. 
Where  the  disease  is  caused  by  rheumatism,  the  following  may  be 
given  : 

Carbonate  of  potassa,  2^  drachms. 

Nitrate  of  potassa,  - - - . u 

Water,  ......  8 ounces. 

Mix.  Dose,  a tablespoonful  three  times  a day.  A plaster  may 
be  applied  over  the  heart  as  the  fever  decreases.  Dover’s  powders 
may  be  given  where  there  is  restlessness  at  night. 


232 


OUR  FAMILY  PHYSICIAN. 


Palpitation  of  the  Heart. 

This  is  a complaint  which  may  be  a symptom  of  some  organic 
disease  of  the  heart,  or  may  be  owing  to  general  nervous  debility, 
dyspepsia,  or  some  other  disease.  * 

Symptoms.  — There  is  an  increase  in  the  force  and  frequency  of 
the  action  of  the  heart ; a rapid  beating,  and  fluttering  motion 
which  may  be  felt  very  plainly  when  the  hand  is  placed  upon  the 
breast ; shortness  of  breathing  ; sense  of  pain  in  the  neighborhood 
of  the  heart  ; feeling  of  constriction  across  the  chest  ; pale  coun- 
tenance ; difficulty  in  lying  down  ; great  debility. 

Causes.  — Palpitation  of  the  heart  is  generally  owing  to  dyspep- 
sia or  some  derangement  of  the  digestive  organs.  It  may  be 
brought  on  by  great  mental  excitement,  intemperance,  nervous 
debility,  excessive  study,  venereal  excesses,  and  masturbation. 

GENERAL  TREATMENT. 

A person,  when  attacked  should  lie  down  upon  his  back,  and  fill 
the  lungs  with  air  by  drawing  in  full  breaths.  Persons  subject  to 
it  should  occupy  their  attention  with  such  things  as  afford  employ- 
ment without  agitating  the  mind  : as  music,  work,  domestic  duties, 
drawing,  dancing,  gardening,  horse  exercise,  and  cheerful  society. 
The  diet  should  be  well  regulated,  and  should  be  nourishing,  with- 
out being  stimulating.  Persons  subject  to  it  should  forego  strong 
tea,  coffee,  liquor  and  tobacco. 

ECLECTIC  AND  HERBAL. 

The  following  is  said  to  give  immediate  relief: 

Tincture  of  castor,  sulphuric  ether,  and  compound  spirits  of 
lavender,  each  one  ounce.  Mix. 

Dose,  a teaspoonful  every  five  or  ten  minutes  until  relief  is 
obtained. 

The  tincture  of  digitalis  in  doses  of  ten  or  fifteen  drops  three  or 
four  times  a day,  will  sometimes  be  found  to  be  beneficial.  If 
there  is  acidity  of  the  stomach,  take  magnesia,  prepared  charcoal, 
or  carbonate  of  ammonia.  Brandy  or  other  spirits  with  a little 
cayenne  pepper,  will  sometimes  readily  relieve. 

HOMEOPATHIC. 

If  the  palpitation  is  caused  by  fright,  use  Opium  or  Coffea.  If 
caused  by  fear  and  anguish,  use  Veratrum.  By  sudden  joy,  Coffea. 


GENERAL  DISEASES. 


233 


By  loss  of  blood  or  other  discharges,  China,  Phosphoric  acid,  Nux 
Vomica,  or  Veratrum.  If  it  occurs  in  nervous  persons,  and  hys- 
terical females,  Coflea,  Ignatia,  Chamomilla,  Cocculus,  Pulsatilla, 
Lachesis,  or  Veratrum.  By  congestion  of  the  blood,  Aconite, 
Belladonna,  Coflea,  Phosphorus,  Opium,  or  Perrum.  By  disap- 
pointment, Aconite,  Ignatia,  Nux  Vomica,  or  Chamomilla.  If  xt 
occurs  in  young,  growing  people,  Aconite  or  Pulsatilla  ; if  in  old 
people  Arsenic  or  Lachesis. 

When  the  person  is  subject  to  palpitation  of  the  heart  at  inter 
7als,  the  following  are  the  remedies  to  be  given  : 

Pulsatilla,  Arsenic,  Lachesis,  Aconite,  Phosphorus,  Aurum,  or 
Sulphur. 

Administration  of  Remedies.  — Dissolve  of  the  selected  remedy, 
twelve  globules  in  twelve  teaspoonfuls  of  water,  and  give  a tea- 
spoonful every  half  hour,  hour,  two,  three,  or  four  hours,  accord- 
ing to  the  severity  of  the  attack.  In  chronic  cases,  a dose  of 
the  selected  remedy,  morning  and  evening,  may  be  taken.  When 
the  globules  are  used  take  from  four  to  six  at  one  dose. 

ALLOPATHIC. 

If  the  palpitation  be  caused  by  dyspepsia,  hysterics,  or  other 
diseases,  these  require  their  usual  treatment.  When  it  is  caused 
by  a low  state  of  the  blood,  the  following  mixture  may  be  given  : 

Compound  tincture  of  Peruvian  bark,  • 4 ounces. 

Citrate  of  Iron,  - - - - 42  grains. 

Citric  acid,  ------  20  u 

Dissolve  the  citric  acid  in  the  tincture  and  then  add  the  citrate 
of  iron.  Let  the  mixture  stand  a few  days  and  filter.  Dose,  one 
or  two  teaspoonfuls.  This  may  be  continued  for  several  weeks 
until  the  patient  is  better.  The  camphorated  tincture  of  opium, 
given  in  doses  of  one  drachm,  will  sometimes  afford  relief. 

Neuralgia  of  the  Heart,  (Breast  Pang  — Angina  Pectoris .) 

This  is  a painful  nervous  disease.  It  is  characterized  by  severe 
pain  in  the  region  of  the  heart,  occurring  in  paroxysms.  It  should 
be  treated  by  a physician. 

Symptoms.  — The  pain  shoots  from  the  chest  through  the  back, 
and  into  the  left  shoulder,  and  sometimes  down  the  arm.  It  is 
accompanied  with  great  anxiety,  violent  palpitation  of  the  heart, 
and  a sense  of  suffocation.  The  countenance  becomes  deadly  pale, 
the  pulse  sinks,  and  the  surface  of  the  body  is  covered  with  cold 


234 


OUR  FAMILY  PHYSICIAN. 


sweat.  Sometimes  the  pain  spreads  over  the  whole  of  the  front 
part  of  the  chest,  extending  up  to  the  head,  and  descending  to  the 
left  leg.  The  patient  not  unfrequently  has  a feeling  that  he  can 
not  live  unless  speedily  relieved.  Sometimes  the  paroxysms  end 
in  convulsions  or  fainting.  The  attack  may  last  from  a few  min- 
utes to  half  an  hour  or  longer.  In  the  intervals  between  the 
attacks,  the  patient  is  generally  free  from  pain. 

Causes . — It  is  sometimes  owing  to  a convulsive  or  a spasmodic 
action  of  the  heart,  and  attacks  those  who  are  subject  to  rheuma- 
tism, gout,  or  apoplexy.  It  often  depends  on  organic  diseases  of 
the  heart,  or  the  arteries.  The  exciting  causes  are  anything  which 
hurries  the  circulation  of  the  blood,  and  agitates  the  mind  or  body, 
coughing,  straining,  running  rapidly  up  a hill,  and  anything  which 
disturbs  the  digestion. 

TREATMENT. HOMEOPATHIC. 

Aconite . — - Palpitation  of  the  heart  and  great  anguish  ; feverish 
heat,  particularly  in  the  face  ; rapid  beating  of  the  heart  while  the 
pulse  is  slow  ; stitches  and  oppressive  aching  in  the  region  of  the 
heart,  as  if  from  a heavy  load  ; the  patient  can  not  breathe  well  in 
an  erect  position. 

Belladonna.  — Palpitation  of  the  heart  with  irregular  pulse  ; 
great  anguish  about  the  heart ; oppression  of  the  chest.  May  be 
given  after  Aconite  or  before  Lachesis. 

Spigelia.  — Violent  beating  of  the  heart,  with  a sense  of  suffoca- 
tion, and  spasms  of  the  chest,  increased  by  sitting,  and  bending 
the  chest  forward.  May  be  given  in  alternation  with  Pulsatilla. 

Pulsatilla.  — Palpitation  of  the  heart  and  great  anguish,  dimness 
of  sight,  and  difficulty  of  breathing,  particularly  when  lying  on  the 
left  side,  anxiety  and  burning  pressure  in  the  heart. 

Bryonia. — Breathing,  difficult  on  account  of  stitches  in  the 
chest,  with  palpitation  of  the  heart  and  violent  oppression.  May 
be  given  after  Aconite  when  acute  rheumatism  of  the  limbs  has 
been  transferred  to  the  heart. 

Arsenicum.  — Violent  beating  of  the  heart  with  great  anguish 
and  restlessness  ; great  heat  and  burning  of  the  chest  with  cold 
limbs  ; in  such  a case  give  in  alternation  with  Veratrum. 

Arnica.  — Stitches  in  the  heart  from  the  left  to  the  right  side, 
with  fainting  fits  ; quivering  of  the  heart  with  pain,  as  if  it  was 
squeezed  together. 

Lachesis.  — Irregularity  of  the  beating  of  the  heart ; great 


GENERAL  DISEASES. 


23? 


anguish  about  the  heart  with  heaviness  on  the  chest ; great  weak 
ness. 

Administration  of  Remedies . — Dissolve  twelve  globules  of  the 
selected  remedy  in  twelve  teaspoonfuls  of  water,  and  give  a tea- 
spoonful  every  half  hour  or  hour  until  relief  is  obtained.  If  the 
remedy  does  not  relieve  in  one  or  two  hours  select  another,  and 
give  in  the  same  manner.  A mustard  poultice  may  be  applied  to 
the  breast,  and  the  feet  placed  in  hot  water,  and  the  patient  well 
covered. 


ALLOPATHIC. 


Bleeding  may  be  resorted  to,  if  the  pulse  is  strong,  and  the  pa 
tient  is  full  blooded  ; but  when  there  is  debility  and  general  weak- 
ness, it  would  be  very  injurious.  Hot  spirits  and  water,  as  hot 
and  strong  as  they  can  be  borne,  may  be  given,  followed  by  a full 
dose  of  sulphuric  ether,  tincture  of  belladonna  and  laudanum,  or 
sal-volatile.  The  patient  should  be  placed  on  a bed,  and  a hot 
mustard  poultice  applied  over  the  breast ; or  a piece  of  flannel 
moistened  with  equal  parts  of  spirits  of  turpentine  and  liquor  of 
ammonia,  at  the  same  time  giving  five  grains  of  mercury,  followed 
by  the  compound  tincture  of  aloes,  one  ounce,  tincture  of  jalap 
two  drachms,  and  infusion  of  senna,  half  an  ounce.  If  there  is 
wind  in  the  stomach,  give  peppermint  or  annis  water.  If  there  is 
sourness  of  the  stomach,  give  a teaspoonful  of  soda  in  half  a tum- 
bler of  water  ; and  if  the  stomach  be  full  of  indigested  food,  give 
a tablespoonful  of  ground  mustard  stirred  up  with  a teacupful  of 
warm  water.  To  quiet  the  patient,  one  sixth  of  a grain  of  mcfr 
phine  may  be  given,  or  the  following : 


Aromatic  spirits  of  Ammonia,  - - 2 drachms. 

Ether,  ------  I drachm. 

Laudanum,  .....  20  drops. 

Spirits  of  camphor,  -----  1 drachm. 

Mix.  Give  half  a teaspoonful  as  often  as  necessary. 


ECLECTIC  AND  HERBAL. 

Equal  parts  of  laudanum  and  ether  may  be  given  instantly  ; & 
teaspoonful  at  a dose,  in  a little  cold  water.  A glass  of  spirits 
and  water,  as  hot  and  strong  as  it  can  be  swallowed  may  be  given. 
A mustard  poultice  may  be  applied  to  the  chest  in  some  cases, 
and  the  feet  placed  in  warm  water.  In  some  cases,  compound 
tincture  of  Virginia  snake  root  given  in  doses  of  a teaspoonful  or 
two,  and  repeated  every  few  minutes  during  the  attack,  may  be 
given  with  benefit;  or  equal  parts  of  ether,  laudanum  and  tincture 
of  Castor  in  doses  of  a teaspoonful. 


236 


OUR  FAMILY  PHYSICIAN. 


Bleeding  from  the  Lungs,  ( Haemoptysis .) 

Bleeding  from  the  lungs  is  a discharge  of  blood  of  a light  red 
color,  sometimes  frothy,  which  is  brought  up  from  the  lungs  through 
the  windpipe,  with  more  or  less  coughing,  and  hawking.  Bleed- 
ing from  the  lungs,  may  be  distinguished  from  bleeding  from  the 
stomach,  by  the  facts  that  the  blood  when  vomited  up  is  of  a dark 
color,  usually  in  larger  quantities,  and  more  or  less  mixed  with  the 
contents  of  the  stomach. 

Symptoms.  — The  bleeding  is  generally  preceded  by  a sense  of 
weight  on  the  chest,  with  difficult  breathing  ; flushed  face  ; anxi- 
ety ; pain,  heat  or  pricking  beneath  the  breast  bone  ; and  a saltish 
taste  in  the  mouth.  Before  the  issue  of  the  blood,  there  is  a tick- 
ling sensation  in  the  upper  part  of  the  windpipe,  which  excites 
coughing  and  hawking,  followed  by  an  eruption  of  blood.  The 
bleeding  may  commence  with  shiverings,  and  pain  in  the  back  and 
head  ; weariness  of  the  limbs,  and  full  rapid  pulse.  The  amount 
of  blood  discharged  varies  from  a few  drops  to  an  amount  sufficient 
to  produce  speedy  death. 

Causes.  — It  may  be  caused  by  disease  of  the  heart  or  lungs,  or 
a rupture  of  the  blood  vessels  of  the  lungs.  The  exciting  causes 
are  severe  exercise,  violent  straining,  singing,  and  the  inhalation 
of  irritating  substances,  a narrow,  ill  formed  chest,  the  suppression 
of  accustomed  discharges,  and  consumption. 

GENERAL  TREATMENT. 

The  patient  should  be  placed  cn  a bed  with  his  head  and  shoul- 
ders elevated,  the  clothing  be  removed  so  as  not  to  interfere  with 
breathing,  and  the  air  of  the  room  should  be  fresh  and  cool.  The 
patient  should  remain  perfectly  quiet,  moving  his  body  and  limbs 
as  little  as  possible,  and  restraining,  as  much  as  he  can,  the  dispo- 
sition to  cough.  All  sources  of  excitement  should  be  removed 
from  the  room. 

ALLOPATHIC. 

A heaped  teaspoonful  or  two  of  common  salt  may  be  given 
which  seldom  fails  to  check  the  bleeding  for  a time.  If  the  bleed- 
ing continues  after  the  first  gush,  the  following  may  be  given  «• 

Acetate  of  lead,  ....  2 grains. 

Opium, • grain. 


GENERAL  DISEASES. 


237 


Give  at  one  dose,  and  repeat  every  two,  three,  or  four  hours  for 
several  days.  Ice  and  alum,  either  alone  or  together,  may  be  held 
in  the  mouth  and  swallowed  very  slowly  until  the  bleeding  is  stopped. 

In  some  cases  after  the  bowels  have  been  opened  by  three  or  four 
grains  of  calomel,  fifteen  or  twenty  drops  of  dilute  sulphuric  acid 
may  be  given  in  water  three  or  four  times  a day,  or  the  following  : 

Alum  in  powder,  1^-  drachms. 

Compound  infusion  of  Roses,  - - - 7 ounces 

Syrup  of  Roses, 1 ounce. 

Mix.  Dose,  a tablespoon ful  every  three  or  four  hours.  When 
there  is  much  heat  or  feverishness,  give  the  following  : 

Citric  acid,  - 1 drachm. 

Bi-carbonate  of  potash,  - - - - 4 scruples. 

Nitre, - - 2 “ 

Cinnamon  water,  - - ....  2 ounces. 

Water,  - - - 4 “ 

Mix.  Dose,  a tablespoonful  every  four  or  six  hours.  At  the  same 
time  giving  the  following  drink  : 

Cream  of  tartar,  half  an  ounce  ; half  a lemon  with  the  gratings 
of  the  rind  ; sugar  sufficient  to  sweeten  to  the  taste,  and  boiling 
water  two  pints.  Stir  it  occasionally  until  cold.  Dr.  Payne  pre- 
scribes Pond’s  Extract,  to  be  given  in  a diluted  form,  if  too  strong, 
every  fifteen  minutes,  till  the  hemorrhage  ceases.  A physician 
should  be  called  at  once. 

ECLECTIC  AND  HERBAL. 

A teaspoonful  of  common  salt  or  spirits  of  turpentine  may  be  given 
a^d  repeated  every  twenty  or  thirty  minutes,  until  the  bleeding  is 
checked.  If  the  patient  be  uneasy  and  restless,  and  the  discharge 
b*>  large,  the  following  may  be  given  : 

Capsicum,  ------  5 grains. 

Ipecac,  .--..--1  grain. 

Opium, - - £ “ 

Give  at  one  dose,  and  repeat  every  half  hour,  hour,  or  two  hours. 
A strong  tea  made  of  the  leaves  of  bugle  weed,  is  highly  recom- 
lo  mded.  The  patient  should  drink  as  much  as  a pint  a day,  cold, 
to  prevent  a return  of  the  bleeding. 

If  the  above  remedies  cannot  be  procured,  use  the  following  : 

Tincture  of  cinnamon,  tincture  of  rhatany,  and  spirits  of  turpen- 
tine, each  one  ounce. 

Dose,  a ttaspoonful  as  often  as  required. 


238 


OUR  FAMILY  PHYSICIAN. 


HOMEOPATHIC. 

Aconite. — When  the  paroxysm  is  preceded  by  fullness,  or  con 
gestion  of  the  chest,  with  burning  pain,  and  palpitation  of  the 
heart,  restlessness  and  anguish  on  lying  down,  pale  face,  copious 
discharge  of  blood  from  the  lungs,  even  with  coughing  a little. 

I_pecac. — Frequent  short  coughs,  tase  of  blood  in  the  mouth, 
nausea  and  weakness,  spitting  of  mucus  streaked  with  blood. 

Arsenic. — Palpitation  of  the  heart  with  great  anguish,  dry  heat. 

Opium. — Suitable  for  persons  addicted  to  liquor,  when  there  is 
spitting  of  frothy,  thick  blood,  cough  worse  after  swallowing, 
oppression  and  anguish,  weak  voice,  and  drowsiness,  anxious  start- 
ing, cold  limbs,  heat  in  the  chest. 

Nux  Vomica. — Follows  well  after  Opium,  and  Ipecac  or  Ar- 
senic, particularly  when  there  is  cough,  affecting  the  head,  caused 
by  tickling  in  the  chest,  when  the  bleeding  is  caused  by  taking 
cold,  or  constipation  of  the  bowels. 

China. — When  the  patient  has  lost  much  blood  ; or  when  the 
cough  is  violent,  hollow,  dry  and  painful,  with  taste  of  blood  in  the 
mouth  ; shivering  and  flushes  of  heat,  weakness,  faintness,  and 
dimness  of  sight. 

Ferrum. — May  be  given  after  China,  when  this  has  relieved  but 
there  still  remains  a slight  cough  with  spitting  of  scanty,  bright 
red  blood,  with  pain  between  the  shoulder  blades;  difficulty  of 
breathing. 

Hyosciamus . — Dry  cough  at  night,  with  spitting  of  blood ; fre- 
quently awaking  with  a start. 

Pulsatilla.  — In  obstinate  cases  where  black,  and  clotted  blood  is 
expectorated,  more  in  the  morning  or  night  ; particularly  in 
females. 

Arnica.  — Slow  hemorrhages  of  black  and  clotted  blood,  with 
stitching,  and  burning  pain,  and  heat  in  the  chest ; palpitation  of 
the  heart ; difficulty  of  breathing.  When  the  bleeding  is  caused 
by  injuries,  such  as  falls,  blows,  and  lifting,  or  when  the  expector- 
ation is  clear  and  frothy  ; hacking  cough  ; tickling  under  the  breast 
bone.  May  be  given  sometimes  in  alternation  with  Aconite. 

Belladonna.  — Cough  and  tickling  of  the  throat  with  bleeding ; 
sensation  of  fullness  as  if  from  blood  in  the  chest,  with  pressing 
or  shooting  pains  ; worse  when  moving. 

Hamamelis.  — Cough  and  bleeding,  with  taste  as  of  sulphur  in 
the  mouth  ; dull  pain,  in  the  forehead  ; tickling  cough  with  taste 
of  blood  on  awaking  ; difficult  breathing  ; oppression  in  the  lower 
part  of  the  chest;  and  fullness  of  the  neck  and  head. 

Administration  of  Remedies.  — Dissolve  twelve  globules  in 
twelve  teaspoonfuls  of  water,  and  give  a teaspoonful  every  ten  or 
twenty  minutes,  until  the  bleeding  ceases  ; afterwards  give  at  in 


GENERAL  DISEASES. 


239 


tervals  of  from  three  to  six  hours.  Aconite  is  the  most  suitable 
remedy  with  which  to  commence  in  all  cases,  followed  by  Ipecac, 
Arsenic,  Opium,  Belladonna,  etc.  Cold  water  may  be  applied  to 
the  chest,  on  a linen  cloth.  The  diet  of  the  patient  should  be 
cool,  carefully  avoiding  all  spirituous  or  exciting  food  or  drinks. 
Rice  and  barley  water,  with  raspberry  syrup,  lemonade,  etc.,  are 
suitable. 

Asthma.. 

Asthma  is  an  affection  of  the  lungs,  characterized  by  paroxysms 
of  laborious  breathing,  mostly  performed  with  a wheezing  noise. 
An  attack  occurs  generally  at  night.  There  are  two  species : a 
dry,  nervous,  or  spasmodic  asthma,  and  a humid  or  moist  asthma. 
The  former  comes  on  suddenly  and  violently,  with  constriction  of 
the  chest,  slight  cough,  and  with  but  little  expectoration.  The 
latter  comes  on  slowly,  with  laborious  breathing,  severe  cough,  and 
profuse  expectoration. 

Symptoms.  — An  attack  is  frequently  preceded  by  a sense  of 
fullness  about  the  stomach,  with  drowsiness,  weakness,  headache 
and  nausea.  The  patient  has  a sense  of  tightness  across  the  chest 
with  difficult  breathing  accompanied  with  a wheezing  noise.  The 
attack  generally  comes  on  at  night,  after  the  person  has  retired  to 
rest.  There  is  often  a depression  after  coughing,  and  the  patient 
is  compelled  to  ssek  an  open  window  or  door  .for  fresh  air.  The 
breathing  is  slow  and  difficult ; face  purplish  and  distended,  or  pale 
and  collapsed  ; the  tongue  is  coated  and  a cold  perspiration  breaks 
out  over  the  body  ; the  feet  are  cold,  pulse  small  ; and  there  is 
palpitation  of  the  heart ; sometimes  vomiting.  These  symptoms 
will  last  for  several  hours,  and  in  the  morning  the  patient  will  feel 
tolerably  well,  but  there  remains  a tightness  across  the  chest,  and 
a difficulty  of  breathing  and  the  paroxysms  are  apt  to  recur  on 
each  succeeding  evening. 

Causes . — Asthma  may  be  owing  to  a constriction  of  the  muscu- 
lar fibres  of  the  windpipe,  and  may  be  caused  by  cold,  moist  atmos- 
phere, sudden  changes  of  temperature,  the  inhalation  of  irritating 
vapors,  dusty  or  smoky  atmosphere,  violent  mental  emotion!, 
severe  exercise,  etc. 


240 


OUR  FAMILY  PHYSICIAN. 


TREATMENT. 


•ECLECTIC  AND  HERBAL. 


The  tincture  of  Lobelia  is  the  principal  remedy  in  this  disease. 
Mustard  in  doses  of  one  teaspoonful  may  be  given  when  the  Lobe- 
lia can  not  be  procured.  The  following  is  recommended  as  not 
only  relieving  the  paroxysms,  but  sometimes  effecting  permanent 


cures  : 


Lobelia  seed, 

Skunk  Cabbage  balls, 
High  Cranberry  bark, 
Stramonium  seed, 
Capsicum, 

Alcohol, 


1 ounce. 

1 “ 

2 ounces. 
£ ounce. 

5 pints. 


Mix,  and  let  it  stand  two  weeks,  shaking  it  frequently.  Dose 
from  twenty  to  sixty  drops  three  times  a day,  or  during  the  parox- 
ysm as  often  as  necessary. 

A teaspoonful  of  powdered  alum  mixed  with  molasses,  and  re- 
peated every  fifteen  minutes  until  it  operates,  is  an  efficient 
remedy. 

If  the  dry  leaves  of  the  Lobelia  be  used,  an  ounce  should  be 
steeped  in  a pint  of  water,  and  a tablespoonful  given  every  fifteen 
minutes  until  vomiting  is  produced. 

Syrup  of  squills,  given  in  doses  of  a teaspoonful  every  half  hour, 
will  sometimes  be  beneficial. 

An  effective  remedy  in  severe  attacks,  is  one  teaspoonful  of 
Ether  mixed  with  thirty  drops  of  Laudanum  in  a wineglass  of  water. 
This  should  not  be  repeated  oftener  than  once  in  four  or  six  hours, 
and  not  more  than  two  doses  should  be  given  in  succession. 

In  spasmodic  asthma  the  following  has  been  advised  : 

Dip  unglazed  paper  in  a solution  of  Nitre,  letting  it  soak  fifteen 
or  twenty  minutes,  then  fold  it  and  dry  it  in  an  oven,  and  put  it 
aside  for  use.  During  the  attack  light  one  end  in  a close  room,  in 
which  the  patient  is  seated,  so  that  he  can  breathe  in  the  fumes. 

A poultice  of  strong  mustard  applied  over  the  chest  and  stom- 
ach, will  sometimes  readily  relieve.  The  following  is  highly 
recommended  : 

Ether,  tincture  of  Castor,  and  tincture  of  Opium,  each  one 
ounce.  Mix.  Dose,  a teaspoonful  when  ever  the  symptoms  are 
urgent.  When  the  asthma  comes  on  at  regular  times,  the  fol- 
lowing is  said  to  be  very  beneficial : 

Sulphate  of  Quinine,  ....  1 scruple. 

Extract  of  Stramonium,  - ■ ■ \ u 

Sulphate  of  Morphine,  ....  2 grains. 

Ipecac,  6 “ 

Capsicum,  20  “ 


20 


GENERAL  DISEASES. 


241 


Mix,  and  divide  into  twelve  pills.  Dose,  one  pill  three  or  four 
times  a day. 

For  severe  attacks  of  spasmodic  asthma,  probably  the  best  remedy 
that  has  yet  become  generally  known  is  what  is  called  “ Jonas 
Whitcomb’s  Remedy  for  Asthma.”  Jonas  Whitcomb  was  a well 
known  citizen  of  Boston,  whose  health  had  become  so  impaired  by 
frequent  attacks  of  spasmodic  asthma  that,  to  preserve  his  life,  he 
was  obliged  to  give  up  business  and  leave  the  country.  lie  went 
to  Europe  and  placed  himself  under  the  treatment  of  an  eminent 
German  physician,  who  became  greatly  interested  in  his  case  and 
finally  cured  him.  On  returning  to  America,  Mr.  Whitcomb  brought 
the  prescription  with  him,  and  for  years, 'out  of  gratitude,  whenever 
he  heard  of  a bad  case  of  asthma,  he  had  the  remedy  put  up  and 
sent  it  to  the  sufferer.  In  this  way  he  did  great  good,  as  far  as  his 
acquaintance  extended.  Finally  he  gave  the  formula  to  Messrs. 
Joseph  Burnett  & Co.,  of  Boston  with  permission  to  put  the  medicine 
up  and  sell  it  for  their  own  benefit,  only  stipulating  that  it  should  for- 
ever be  called  “ J onas  Whitcomb’s  Remedy  for  Asthma  ” For  thirty 
years  it  has  been  a standard  medicine,  prescribed  by  physicians  of 
every  school,  and  if  there  is  anything  better  for  asthma  it  is  not  gener- 
ally known.  It  is  also  effective  for  Rose  Cold  and  Hay  Fever,  when 
they  are  attended  with  asthmatic  symptoms. 

HOMEOPATHIC. 

Pulsatilla. — -May  be  given  when  the  attack  occurs  in  a person  of 
mild  ‘temperament,  light  complexion,  light  hair  and  eyes,  caused  by 
suppressed  eruption,  and  cessation,  or  other  derangement  of  the 
menses.  The  symptoms  are,  short,  suffocating,  and  difficult  breath- 
ing, tongue  covered  with  a thick  coating,  breath  offensive,  counten- 
ance pale,  and  slight  constriction  of  chest,  short,  spasmodic  cough, 
nausea,  and  throbbing  pain  in  forehead. 

Ipecac. — Nightly  paroxysms  of  suffocation,  and  spasmodic  con- 
striction of  the  throat,  rattling  in  chest  from  an  accumulation  of 
mucus,  short,  dry  cough,  great  anguish,  fear  of  death,  agitation,  ex- 
tremities cold,  palpitation  of  heart,  nausea,  vomiting. 

Nux  Vomica. — Sense  of  weight  and  constriction  of  the  chest; 
aggravation  of  the  symptoms  in  the  night  ; or  after  walking,  eating, 
or  lying  down  ; heat  and  burning  in  the  chest ; palpitation  of  the 
heart ; short,  dry  spasmodic  cough  ; heart  burn. 

Lobelia. — -When  the  attack  is  preceded,  or  accompanied  by  a 
prickling  sensation  through  the  whole  system,  even  to  the  fingers 
and  toes  ; short,  anxious  and  wheezing  respiration  ; nausea  and 
vomiting;  giddiness  and  head  ache;  spasmodic  cough;  trembling 
of  the  limbs  ; cold  sweats. 


242 


OUR  FAMILY  PHYSICIAN. 


Aconite.  — When  the  asthma  occurs  in  sensitive  persons,  and  is 
easily  excited  by  mental  emotions. 

Bryonia  — Asthma  worse  by  motion,  and  in  the  night,  with 
pains  in  the  chest  ; may  follow  Ipecac. 

Coffea.  — When  caused  by  sudden  joy  ; short  dry  cough. 

Opium.  — Suffocating  cough,  with  bluish  red  face  ; deep,  rattling 
breathing  ; especially  when  caused  by  fright. 

Ignatia . — When  caused  by  fright,  or  indignation  ; especially  in 
women  ; want  of  air  in  walking,  and  cough  on  resting. 

Spongia.  — Want  of  breath  ; paroxysms  of  suffocation  after 
every  motion,  with  fatigue  ; heat  in  the  face  ; rush  of  blood  to  the 
face  and  chest. 

Veratrum. — Paroxysms  of  suffocation  when  rising  up;  during 
motion  ; may  follow  Ipecac,  Arsenic,  or  China. 

Other  remedies  are  Cocculus,  Chamomilla,  Cuprum,  Lachesis, 
and  Silicea. 

Administration  of  Remedies.  — Dissolve  twelve  globules  of  the 
selected  remedy,  in  twelve  teaspoonfuls  of  water,  and  give  a tea- 
spoonful every  half  hour,  two,  three,  or  four  hours,  according  to 
the  severity  of  the  symptoms.  In  chronic  cases  give  a teaspoonful 
twice  a day  until  better.  Water  may  be  applied  to  the  chest  and 
abdomen,  during  the  night,  by  means  of  a wet  bandage.  This 
will  sometimes  prevent  an  attack  ; the  patient  should  wash  fre 
quently  in  cold  water,  and  exercise  in  the  open  air. 

Diet . — Persons  subject  to  asthma  should  abstain  from  coffee, 
meat,  and  greasy  substances;  using  only  mild  and  nutritious  food. 

ALLOPATHIC. 

The  following  is  highly  recommended : 

Iodine, 6 grams. 

Iodide  of  Potassium,  • - • • 12  “ 

Tincture  of  Ipecac,  ....  - 1 grain. 

Tincture  of  Balsam  of  Tolu,  • 6 drachms. 

Ethereal  tincture  of  Conium,  - * “ 

Alcohol. | pint. 

Mix.  Dose,  one  or  two  teaspoonfuls  to  be  inhaled  ten  or  fifteen 
minutes  in  about  a gill  of  hot  water.  At  the  same  time  use  the 
following : 

Iodide  of  Potassium,  ....  1 drachm. 

Syrup  of  Sarsaparilla,  - - 4 ounces. 

Mix.  Dose,  two  teaspoonfuls  three  times  a day. 

The  following  is  excellent  in  some  cases : 

Tincture  of  Lobelia,  and  wine  of  Ipecac,  each,  half  an  ounce. 


GENERAL  DISEASES. 


243 


Mix.  Dose,  half  a teaspoonful,  every  half  hour,  until  nausea 
and  expectoration  occur. 

Smoking  tobacco,  or  stramonium  leaves,  is  especially  recom- 
mended in  some  cases.  Breathing  the  air,  in  which  are  the  fumes 
of  burned  papers,  which  have  been  saturated  in  a solution  of  Ni- 
trate of  potassa  is  recommended. 

Dropsy  of  the  Chest,  ( Hydrothorax .) 

Dropsy  of  the  chest  is  an  accumulation  of  watery  fluid  in  the 
chest.  It  may  exist  alone,  or  be  a part  of  a general  dropsy.  It 
is  generally  caused  by  some  previous  disorder  of  the  lungs,  heart, 
or  the  membranes  lining  the  chest,  or  the  membrane  surrounding 
the  heart.  This  disease  should  be  treated  by  a competent 
physician. 

Symptoms . — Great  difficulty  of  breathing,  increased  by  exertion 
and  worse  during  the  night.  The  patient  can  not  lie  on  the  side 
of  the  chest  opposite  to  the  one  affected,  distressing  sensation  of 
weight  and  oppression  at  the  chest.  Countenance  pale.,  sometimes 
purplish  ; frequent  shiverings,  short,  dry  cough  ; sense  of  heavi- 
ness at  the  pit  of  the  stomach  and  palpitation  of  the  heart ; sleep 
disturbed  by  troubled  dreams,  from  which  he  awakes  with  a sense 
of  suffocation.  There  is  a sensation  of  numbness  sometimes  in  one 
or  both  arms  ; the  eyes  have  a peculiar  stare  ; the  lower  eyelids  are 
frequently  swollen,  and  the  throat  is  dry  ; as  the  accumulation  of 
fluid  increases,  the  symptoms  grow  gradually  worse,  and  the  patient 
is  obliged  to  remain  in  an  erect  position  ; the  hands,  arms,  and  feet 
become  swollen  and  cold  ; drowsiness  and  delirium  take  place,  and 
death  may  occur  suddenly  from  apoplexy  ; or  the  patient  may  die 
gradually  from  suffocation. 

Causes.  - — Cold,  injuries,  diseases  of  the  heart,  liver,  or  stomach  ; 
immoderate  use  of  liquors,  etc. 

TREATMENT.  HOMEOPATHIC. 

Arserncum.  — Pale  and  sickly  countenance  ; cheeks,  lips,  and 
eyelids  flabby  and  puffy  ; mouth  and  tongue  dry  ; palpitation  of 
the  heart  ; fainting  ; difficult  breathing  when  exercising  and  after 
lying  down  ; anguish  and  oppression  in  the  chest ; burning  and 


244 


OUR  FAMILY  PHYSICIAN. 


roaring  in  the  ears  and  head  ; loss  of  appetite  ; dreams  ; disturbed 
sleep  ; chilliness. 

Apis  Mellifica . — Difficult  and  anxious  breathing;  pain  and  ten- 
derness of  the  abdomen,  increased  by  pressure  ; symptoms  worse 
when  lying  down.  This  is  a valuable  remedy  in  this  disease. 

Digitalis. — Useful  in  dropsy  of  the  chest  when  arising  from 
disease  of  the  heart. 

Other  remedies  are  Bryonia,  China,  Hellebore,  Asparagus,  Can- 
tharides,  Mercurius,  Apocynum,  and  Cannabis. 

Administration  of  Remedies.  — Dissolve  twelve  globules  in  twelve 
teaspoonfuls  of  water,  and  give  a teaspoonful  every  hour,  two, 

three,  or  four  hours,  according  to  the  urgency  of  the  symptoms. 

ALLOPATHIC. 

The  chest  should  be  painted  with  the  tincture  of  iodine,  and  the 
soreness  should  be  kept  up. 

The  following  purgative  may  be  taken  : 

Pulverized  Gamboge,  - • - - 12  grains 

Elaterium,  ......  2 grains. 

Castor  Oil,  ......  8 drops. 

Extract  of  Stramonium,  - ■ 3 grains. 

Mix,  and  make  twelve  pills.  Dose,  one  pill  every  hour  until  it 
operates. 

Or  this  : 

Powdered  Jalap,  12  grains. 

Cream  of  Tartar,  .....  2 drachms. 

Mix.  To  be  taken  in  syrup  or  molasses  at  one  dose.  At  the 
same  time  take  the  following  : 

Infusion  of  Digitalis,  - • • * 4 ounces. 

Acetate  of  Potash, 2 drachms. 

Sweet  Spirits  of  Nitre,  ...  2 11 

Cinnamon  water,  ...  - l^ounces. 

Mix.  Dose,  a tablespoonful  every  three  or  four  hours. 

Iodide  of  potassium,  taken  as  follows,  is  an  excellent  remedy: 

Iodide  of  Potassium,  ...  1 ounce. 

Fluid  extract  of  Pipsissewa,  ...  2 ounces. 

Water,  - ^ pint. 

Dose,  one  teaspoonful  every  three  or  four  hours. 

Iodide  of  Potassium  may  be  taken  alone,  in  doses  of  five  or  six 
grains. 


GENERAL  DISEASES. 


246 


ECLECTIC  AND  HERBAL. 

Dandelion  is  recommended  for  this  disease.  It  should  be  pre- 
pared as  follows : 

Wash  the  root,  slice  up  a good  double  handful,  and  allow  it  to 
stand  for  an  hour  or  two  in  boiling  water.  Two  or  three  cupfuls  of 
the  decoction  should  be  taken  during  the  day.  The  common  herb 
called  broom  is  a valuable  remedy.  Take  the  green  tops,  and  put 
a handful  in  a pint  of  water  ; the  water  should  be  poured  on  boiling, 
and  the  whole  should  be  allowed  to  stand  in  a vessel  near  the  fire 
for  several  hours.  A teacupful  should  be  given  twice  a day.  An 
occasional  dose  of  salts,  or  cream  of  tartar,  should  be  given  to 
keep  the  bowels  open.  The  iodide  of  potassium,  given  in  doses  of 
five  or  six  grains,  once  in  three  or  four  hours  is  highly  recom- 
mended. The  bark  of  the  common  grape  vine  is  said  to  have 
effected  some  wonderful  cures.  The  bark  should  be  burned  to 
ashes,  and  a teaspoonful  of  the  ashes  taken  in  a wine-glass  or 
more  of  Catawba  wine,  three  times  a day.  The  dose  should  be  in- 
creased or  diminished,  as  it  appears  necessary.  For  a constant 
drink,  the  patient  may  take  the  following : 


Hair-Cap  Moss, 

- 

. 

2 ounces. 

Dwarf  Elder  bark, 

. 

. 

1 ounce. 

Juniper  berries, 

* 

• 

I 

Make  a strong  infusion,  and  take  half  a wine-glass  full  to  a 
wine-glass  full,  every  hour  or  whenever  the  patient  is  thirsty. 

The  following  is  an  excellent  prescription  : 


Mustard,  • £ ounce. 

Juniper  berries,  1 “ 

Milkweed  root,  .....  1 " 

Horse-radish  root,  . - - - - 1 “ 

Black  Elder  bark, I u 

Mandrake  root,  1 « 

Dwarf  Elder  root  or  bark,  ...  1 « 

Bitter  Sweet  bark,  from  the  root,  - 1 “ 


Press  all  together  and  add  one  gallon  of  hard  cider. 

Dose,  one  wine-glass  full  three  times  a day,  on  an  empty 
stomach. 


Consumption,  {Phthisis  Pulmonalis.) 

Consumption  is  a wasting  awTay  or  decay  of  the  body  from  any 
cause,  but  the  name  is  generally  applied  to  pulmonary  consumption, 
which  is  caused  by  disease  of  the  lungs. 


246 


OUR  FAMILY  PHYSICIAN. 


Symptoms.  — The  general  symptoms  are  cough,  pain  in  the 
breast,  fever,  heat  in  the  hands,  feet  and  cheeks,  change  of  voice, 
crooked  or  bent  nails,  falling  off  of  the  hair,  etc. 

The  cough  is  at  first  slight  and  dry,  sometimes  occurring  only  on 
rising  in  the  morning,  or  on  making  any  exertion ; difficult  breath- 
ing, expectoration  of  thin  or  frothy  matter,  resembling  mucus. 
As  the  disease  advances,  the  breathing  becomes  more  difficult,  and 
the  cough  more  severe  and  distressing,  the  skin  hot  and  dry,  with 
a burning  sensation  in  the  palms  of  the  hands,  and  sometimes  in 
the  soles  of  the  feet,  the  appetite  is  variable  and  capricious,  the 
bowels  irregular.  As  the  disease  advances,  the  cough  increases  in 
severity,  and  the  breathing  becomes  more  difficult.  Chilly  sensa- 
tions occur  in  the  latter  part  of  the  day,  with  heat  of  the  skin  at 
night  and  sweating  in  the  morning,  the  face  is  considerably  flushed 
towards  evening,  the  appetite  fails,  the  features  have  a sharp 
appearance,  there  is  a sense  of  weight  and  constriction  of  the 
chest,  and  frequently  there  is  pain  in  one  or  both  sides  ; bleeding 
from  the  lungs  is  frequently  found  at  this  stage,  sometimes  an 
obstinate  diarrhoea  occurs,  pain  in  the  bowels,  hectic  fever,  and 
thirst.  As  the  disease  advances  further,  all  the  symptoms  become 
worse.  The  cough  is  almost  constant,  and  very  distressing,  the 
features  become  sharp,  and  the  eyes  hollow,  the  hair  falls  off,  the 
nails  curve  inward,  the  voice  becomes  weak  and  hoarse,  the  feet  and 
ankles  swell,  and  the  patient  gradually  dies  from  exhaustion,  from 
sudden  congestion  of  the  lungs,  from  bleeding  from  the  lungs,  or 
other  causes. 

Causes.  — This  disease  is  generally  hereditary.  Whatever  tends 
to  enfeeble  the  frame,  and  produce  a weakened  state  of  the  con- 
stitution ; as  anxiety,  grief,  disappointment,  over  exertion,  insuffi- 
cient clothing  or  food,  late  watching,  indulgence  of  the  passions,  , 
too  early  study,  dwelling  in  damp  and  confined  places,  tight  lacing, 
use  of  improper  medicines. 

GENERAL  TREATMENT. 

The  diet  is  a very  important  part  of  the  treatment  ; the  food 
should  be  nutritious  and  easy  of  digestion  ; beef  should  be  used  in 


GENERAL  DISEASES. 


247 


preference  to  any  other  meat,  and  should  be  rare  ; mutton  and 
young  fowls  and  tender  game  ; soft  boiled  eggs  ; milk,  beer,  and 
fish  Light  meals  are  always  preferable,  and  the  patient  should  be 
careful  not  to  eat  to  excess.  As  drinks,  milk,  wrater,  tea,  or  cocoa 
may  be  used.  Exercise  out  of  doors  should  be  frequently  indulged 
in.  Horseback  riding  is  very  beneficial.  The  person,  however, 
should  not  become  fatigued  in  taking  exercise.  Sponging  the 
chest  and  shoulders  daily  wuth  vinegar  and  water,  commencing 
with  warm  and  gradually  reducing  the  temperature,  until  it  can 
be  used  quite  cold,  is  very  beneficial ; the  body  should  be  rubbed 
off  with  a coarse  towel.  The  sleeping  apartment  should  be  large, 
and  well  ventilated.  Exposure  to  cold  weather,  or  sudden  changes 
of  temperature  should  be  avoided.  Cotton,  wool  or  fur  should  be 
worn  on  the  breast.  A residence  in  a mild  climate  is  preferable 
to  any  other.  The  climate  of  New  Mexico  or  the  northern  part 
of  Texas  is  said  to  be  the  best  suited  for  consumptives ; also  that 
of  Minnesota,  Florida,  and  Cuba.  In  Europe,  consumptives  resort 
to  Pau,  and  Biarritz  in  France;  to  Malaga,  Malta,  Sorrento,  Pal- 
ermo, Algeria  and  Madeira. 

ALLOPATHIC. 

The  treatment  urged  by  physicians  is  cod  liver  oil ; the  hypo- 
phosphites  of  lime  and  soda  have  also  come  largely  into  use  for  this 
disease.  The  difficulty  has  been  in  administering  the  former  on  ac- 
count of  its  repugnance,  but  the  advance  in  the  science  of  pharmacy 
has  led  to  the  discovery  of  a process  uniting  these  two  remedial 
agents  in  a very  unique  and  desirable  form,  depriving  the  oil  of  its 
nauseating  character  and  rendering  it  acceptable  to  the  most  sen- 
sitive stomachs  of  either  adults  or  children.  The  leading  prepara- 
tion of  this  class,  and  one  most  widely  recognized  by  the  medical 
profession,  not  only  in  this  country,  but  in  Europe,  is  Scott’s  Emul- 
sion of  Cod  Liver  Oil  and  Hypophosphites  of  Lime  and  Soda. 
The  emulsifying  of  the  oil  no  doubt  adds  to  its  potency,  and,  with 
the  addition  of  the  hypophosphites,  makes  it  a very  useful  and  re- 
liable agent  in  the  treatment  of  consumption  and  wasting  diseases 

The  directions  for  the  use  of  this  preparation  are  as  follows  : 
For  adults,  a tablespoonful  after  meals;  for  children,  from  a tea- 
spoonful to  a desertspoonful,  according  to  age.  Mixed  in  an  equal 
quantity  of  milk  or  water,  it  is  then  nearly  as  palatable  as  milk, 
and  the  increase  of  flesh  and  strength  will  be  exhibited  very  soon 
after  commencing  its  use. 

It  may  be  taken  also  in  the  froth  of  porter,  or  ale,  or  after  rinsing 


OtfE  FAMILY  FHYMCIAif. 


248 


the  mouth  with  brandy,  which  may  also  follow  the  dose.  It  is 
sometimes  more  palata.ble  if  salted. 

The  use  of  this  remedy  should  be  persevered  in  for  months  or 
years,  if  the  disease  is  not  sooner'  eradicated.  Alcoholic  drinks, 
ale,  and  lager  beer,  are  recommended.  These  stimulants  should 
be  taken  in  small  quantities  ; say  two  or  three  spoonfuls  of  whis- 
key, or  half  a glass  or  less  of  wine,  or  half  a tumbler  full  of  ale  or 
beer,  and  repeated  two  or  three  times  a day. 

Pains  in  the  chest  will  be  relieved  by  bran  or  mustard  poultices, 
or  blisters.  The  “ Pulmonic  Cherry  Cordial,”  recommended  by 
Dr.  Ira  Warren,  of  Boston,  will  be  found  valuable  for  the  cough. 
It  is  prepared  as  follows  : 


Wild  Cherry  Bark,  ground, 
Ipecac  Boot, 

Blood  Root, 

Squill  Boot,  bruised, 
Pulverized  Liquorice  Boot, 
Cochineal,  bruised, 

Anise  Seed, 

Fennel  Seed, 

Orange  Peel, 

Acetate  of  Morphine,  • 

Alcohol,  - 

Water, 

Pulverized  White  Sugar, 
Sulphuric  acid, 


10  pounds. 
20  ounces. 
24  “ 

12  “ 

5 “ 

2 “ 

32  •< 

8 “ 

16  “ 

12  drachms. 
8 gallons. 

8 “ 

40  pounds. 

1 ounce. 


Grind  all  the  articles  to  a coarse  powder,  except  those  directed 
to  be  bruised  or  pulverized,  and  put  them  all  in  the  alcohol, 
except  the  wild  cherry  bark:  the  water,  sugar,  and  the  sulphuric 
acid.  Let  them  stand  one  week,  shaking  and  stirring  thoroughly 
twice  a day.  After  having  kept  the  wild  cherry  bark  in  a covered 
vessel  two  days,  with  water  enough  to  wet  it  through,  place  it  in 
a percolator,  and  run  eight  gallons  of  water  through  it ; then  add 
the  alcohol  and  other  ingredients.  Let  the  whole  stand  three 
days  longer,  stirring  twice  a day,  draw  off  and  filter  through  paper; 
add  the  sugar,  and  lastly  the  sulphuric  acid.  These  are  directions 
for  making  sixteen  gallons,  but  the  quantity  can  easily  be  reduced 
by  making  the  necessary  calculation.  The  dose  is  from  one  to  two 
teaspoonfuls.  If  a quieting  effect  is  needed,  add  a little  morphine 
to  the  preparation.  The  following  will  also  be  found  useful  for 
the  cough  : 

Syrup  of  Wild  Cherry,  2 ounces. 

Lactucarium,  - • - - 2 “ 


Mix.  Dose,  a teaspoonful  or  two  at  night,  or  in  the  morning. 


GENERAL  DISEASES, 


249 


Or  this  : 

Syrup  of  Tolu7  - , 1 ounce. 

Syrup  of  Squills,  - • • - ’ i “ 

Wine  of  Ipecac, 2 drachms. 

Paregoric,  - - • * * - 3 “ 

Mucilage  of  Gum  Arabic,  drachm. 

Mix.  Dose,  a teaspoonful  occasionally. 

The  liquor  of  the  iodide  of  iron,  taken  in  doses  of  from  twelve 
to  twenty  drops  in  water,  three  times  a day,  may  be  beneficial  in 
some  cases,  where  there  is  considerable  debility.  For  the  night 
sweats,  the  following  may  be  used  : 

Infusion  of  Peruvian  or  Cascarilla  Bark,  4 ounces. 

Tincture  of  Hyosciamus,  * * * 1 drachm. 

Dilute  Sulphuric  Acid,  1 “ 

Mix.  Dose,  a tablespoonful  three  times  a day. 

Or  this  : 

Oxide  of  Zinc, 1 drachm. 

Ext.  of  Conium, i “ 

Make  into  twenty  pills,  and  take  one  or  two  every  night. 
Washing  with  brandy,  or  whiskey  and  alum,  may  be  practised  if 
the  sweats  are  excessive.  For  the  diarrhoea,  Tris-Nitrate  of  Bis- 
muth, may  be  given  in  doses  of  thirty  grains  either  before  or  after 
each  meal.  In  case  of  irritable  stomach,  the  application  of  two 
or  three  leeches  to  the  pit  of  the  stomach,  followed  by  a warm 
bran  poultice,  will  be  of  benefit.  For  the  hectic  fever  the  Sul- 
phate of  Quinine  is  an  effectual  remedy  given  to  the  extent  of  ten 
or  twelve  grains  in  the  intervals.  Sometimes  vinegar,  in  doses 
of  one  or  two  teaspoonfuls  repeated  every  hour  or  two,  diluted 
with  water,  and  sweetened,  may  be  given  with  good  effect. 
Sponging  the  surface  of  the  skin  with  warm  vinegar  or  spirits, 
has  sometimes  a soothing  effect. 


ECLECTIC  AND  HERBAL. 

The  phosphate  of  lime,  given  in  doses  of  ten  grains  three  times 
a day,  each  dose  followed  by  a teaspoonful  of  cod  liver  oil,  is  high- 
ly recommended.  The  tincture  of  muriate  of  iron,  in  doses  of 
five  drops  in  a wineglass  of  water,  and  repeated  every  three  or  four 
hours,  will  be  found  useful  in  some  cases.  The  following  is  recom- 
mended as  sometimes  beneficial : 

Tincture  of  Blood  Root,  ...  l drachm. 

Fluid  extract  of  Wild  Cherry,  - - 3 drachms. 

Infusion  of  Liquorice,  ...  £ pint. 

Muriate  cf  Ammonia,  1 drachm. 

Mix.  Dose,  a tablespoonful  every  two  hours. 


250 


OUR  FAMILY  PHYSICIAN. 


The  inhalation  of  Jie  following  will  be  sometimes  beneficial : 

Nitric  Acid, 25  drops. 

Camphor, 4 drachms. 

Tannic  Acid, 4 . “ 

Pure  deodorized  Alcohol,  ...  G ounces. 

Mix.  A piece  of  sponge  should  ho  moistened  with  a teaspoon- 
ful or  two  of  this  mixture,  and  placed  in  a tumbler,  and  held  to 
i)he  mouth  and  nostrils,  the  patient  inhaling  the  vapor  of  it,  ten  or 
fifteen  minutes,  and  repeating  several  times  a day.  Breathing  the 
vapor  of  melted  rosin  is  a valuable  remedy.  For  the  cough,  use 
the  following : 

Hoarhound,  ......  j ounce. 

Comfrey,  ......  1 “ 

Spikenard,  - - - • • 1 4‘ 

Water, 1 gallon. 

Boil  down  to  one  quart,  strain,  and  add  one  pint  of  honey. 

Dose,  a tablespoonful  three  times  a day,  or  as  often  as  the  cough 
is  troublesome. 


Or  this: 

Fluid  Extract  of  Black  Cohosh, 
u u u Wild  Cherry, 
Tincture  of  Blood  Root,  - 

u u Sulphate  of  Morphine, 


1 ounce. 

1 “ 

1 “ 

2 drachms. 


Mix.  Dose,  a teaspoonful  three  or  four  times  a day,  or  when- 
ever the  cough  is  severe. 

Or  this : 

Fluid  Extract  of  Wild  Cherry,  * • 1-J  ounces. 

Syrup  of  Ipecac,  ....  u 

Syrup  of  Balsam  of  Tolu,  1 ounce. 

Tincture  of  Hyosciamus,  ...  i u 

Mix.  Dose,  a teaspoonful  whenever  the  cough  is  severe. 


Sometimes  the  moderate  inhalation  of  chloroform  will  be  bene- 
ficial. The  night  sweats  may  be  relieved  by  ten  or  twelve  drops 
of  Elixir  of  Vitriol,  taken  in  a wineglass  half  full  of  water  at 
bedtime.  Sponging  the  surface  of  the  body  with  a mixture  of 
alcohol  and  water,  to  which  oil  of  Cinnamon,  or  Tannic  acid,  has 
been  added  will  be  beneficial.  The  diarrhoea  may  be  checked  by 
an  infusion  of  blackberry  root ; or  a teaspoonful  dose  of  equal 
parts  of  paregoric,  and  tincture  of  catechu.  When  bleeding  of 
the  lungs  occurs,  the  patient  should  drink  freely  of  an  infusion  of 
equal  parts  of  Beth  Root,  and  Bugle  Weed  ; or  sometimes  a little 


GENERAL  DISEASES. 


251 


gait  and  water  will  check  it.  The  following  are  some  prepara- 
tions for  coughs  found  in  consumption  : 

A tea  made  of  the  leaves  of  white  hoarhound  and  sweetened 
with  honey  is  an  excellent  cough  medicine.  Teas  made  from 
quince  seed  and  flax  seed,  marshmallow,  or  slippery  elm,  will  do 
much  to  soothe  and  quiet  the  cough.  The  syrup  of  Squills,  tine 
ture  of  Lobelia,  wine  of  Ipecac,  and  paregoric,  each,  one  ounce 
Mix.  Dose,  a tablespoonful  three  or  four  times  a day. 

HOMEOPATHIC. 

Cod  liver  oil  is  of  great  benefit,  as  in  other  treatments  it  may 
be  given  in  doses  of  a tableapoonful  three  times  a day. 

Calcarea  Carbontca  — - Mav  r>e  given  lor  the  following  symptoms  : 
Pale  complexion  with  a heavy  look  of  the  countenance;  cheeks 
puffy ; appetite  capricious ; bowels  inclined  to  constipation  rather 
than  diarrhoea,  but  sometimes  very  irregular  ; cough  slight,  but  de- 
cided; difficulty  of  breathing,  especially  on  going  up  stairs,  or 
walking  more  rapidly  than  usual;  complexion  pasty,  and  muscles 
soft  and  flabby  ; the  circulation  languid ; strength  feeble.  In  a 
more  advanced  stage  of  the  disease,  Lycopodium,  or  Nitric  Acid 
will  be  more  useful  than  Calcarea. 

Sulphur  was  considered  by  Hahnemann  as  one  of  the  principal 
remedies  in  this  disease.  When  Sulphur  is  indicated,  the  follow 
ing  symptoms  will  be  found  present:  eruptions  resembling  those 
of  scrofula,  will  form  on  the  skin ; a disposition  to  take  cold  from 
sudden  exposure ; rheumatic  pain  in  the  limbs  without  swelling ; 
unsteadiness  in  walking,  and  trembling  of  the  hands  ; numbness  of 
different  parts  of  the  body ; paralysis  and  emaciation  ; pains  worse 
at  night,  and  relieved  by  external  warmth ; drowsiness ; disturbed 
sleep;  face  pale,  sickly,  and  flabby;  blue  margins  around  the  eyes; 
dryness  of  the  tongue  and  throat,  sore  throat,  pressure  in  the 
throat  as  if  from  lumps  ; acidity  of  the  stomach  ; stomach  painful 
on  pressure  ; nausea  after  eating;  pain  in  the  abdomen;  cutting 
pain  and  nausea  followed  by  diarrhoea  and  straining ; hoarseness,  or 
loss  of  voice ; throat  feels  rough ; cough  dry,  short  and  hacking. 

Phosphorus. — Suitable  for  persons  of  slight  form  and  fair  com- 
plexion, for  short,  dry  cough,  shortness  of  breath,  great  emaciation, 
diarrhoea,  perspiration. 

Other  remedies  are  Ferrum,  Silicea,  Phosphoric  Acid,  Lobelia, 
Nitric  Acid,  Iodine,  Belladonna,  Hamamelis,  and  China.  These 
remedies  should  be  taken  under  the  direction  of  a competent 
physician. 

Administration  of  Remedies.  — Of  the  selected  remedy,  take  a 
dose,  (six  globules)  three  times  a day  ; or  when  the  symptoms  are 
urgent,  take  a dose  every  hour,  two  or  three  hours. 


252 


OUR  FAMILY  PHYSICIAN. 


Contusion  op  the  Chest. 

If  the  chest  is  injured  by  a fall,  or  a blow,  use  tincture  of  arn 
ica,  externally.  If  bronchitis  or  pneumonia,  or  other  diseases, 
should  result  from  the  injury,  treat  them  as  directed  under  their 
geparate  heads. 

Foreign  Substances  in  the  Windpipe. 

Substances  when  lodged  in  the  windpipe  or  throat  may  be  reached 
by  pressing  down  the  tongue,  and  passing  the  thumb  and  finger  in 
as  far  as  possible.  If  it  can  not  be  seized  by  the  fingers,  a pair  ot 
forceps  should  be  used.  Another  plan  is  to  hold  the  person  up  by 
the  heels  with  the  head  hanging  down,  and  striking  sudden  blows 
between  the  shoulders  ; this  will  generally  be  effective.  Cough- 
ing and  sneezing  will  sometimes  dislodge  the  substance.  In  case 
the  foreign  body  can  not  be  expelled  by  any  of  these  means,  the 
assistance  of  a surgeon  should  be  sought. 


GENERAL  DISEASES. 


253 


CHAPTER  XII. 

Affections  of  the  Stomach  and  Bowels. 

Want  of  Appetite,  {Anorexia.)  — Morbid  or  Diseased  Appetite, 

{Bulimy.) 

WANT  of  appetite  and  morbid  appetite  are  found  in  many  dis- 
eases ; the  former  particularly  in  diseases  of  the  bowels,  or 
diseases  of  a pulmonary  character,  or  in  any  acute  disease.  It 
may  also  proceed  from  a derangement  of  the  stomach.  The  latter 
is  sometimes  present  as  a consequence  of  worm  affections,  or  loss 
of  strength,  dyspepsia,  etc.  The  treatment  of  these  diseases  will 
be  considered  under  dyspepsia. 

Dyspepsia,  (Heartburn  — Indigestion  — Water  Brash — Sour 
Stomach,  Pyrosis.) 

Dyspepsia  is  one  of  the  most  common  diseases  with  which  the 
physician  meets.  It  is  found  in  every  country,  among  all  classes, 
and  more  frequently  in  persons  of  middle  age.  Those  who  are 
of  sedentary  habits,  who  have  no  opportunity  to  take  exercise; 
those  addicted  to  the  use  of  liquors,  tobacco,  etc.,  are  more  sub- 
ject to  it  than  others. 

Symptoms.  — Dyspepsia  maybe  occasional,  or  habitual.  By  oc- 
casional, we  mean  a slight  attack  of  indigestion,  which  arises  from 
over  eating,  or  from  some  indigestible  and  unwholesome  article  of 
food.  By  habitual  dyspepsia,  we  mean  those  cases  which  continue 
for  a great  length  of  time — months  or  even  years.  In  this  dis- 
ease the  stomach  loses  its  digestive  powers,  and  the  patient  is  only 
able  to  eat  by  always  taking  bitters,  or  pills,  and  drugging  himself 
incessantly.  An  occasional  attack  of  indigestion  is  characterized 
by  a sense  of  distension  of  the  stomach;  belching  of  wind;  loss 


254 


OUR  FAMILY  PHYSICIAN. 


of  appetite ; loathing  of  food ; sometimes  by  nausea  and  vomiting. 
In  the  habitual  or  chronic  form  the  appetite  is  changeable,  and 
sometimes  entirely  lost,  or  it  may  be  voracious.  If  the  patient 
eats  a full,  hearty  meal,  he  becomes  low  spirited,  with  pain,  or 
weight  in  the  stomach ; there  is  sometimes  a desire  to  eat,  after 
having  already  eaten,  and  the  first  mouthful  satisfies ; the  tongue 
is  pale,  flabby,  or  slimy,  or  becomes  dry,  clammy,  or  thickly  coated, 
especially  on  rising  in  the  morning  ; there  is  a constant  uneasy 
feeling  of  weight  in  the  stomach;  there  are  also  eructations  of  a 
sour  or  disagreeable  character,  with  acidity  of  the  stomach,  and 
wind  ; a sensation  of  sinking  or  fluttering  at  the  pit  of  the  stomach, 
tenderness  on  pressure  ; sometimes  nausea  and  vomiting  ; headache, 
languor,  and  a great  depression  of  spirits ; fear  of  death,  and  im- 
pending evil ; palpitation  of  the  heart ; or  strong  beating  in  the 
region  of  the  stomach,  constipation;  disagreeable  taste  in  the 
mouth,  especially  in  the  morning,  on  first  waking ; the  memory  is 
impaired ; the  disposition  is  fiokle,  and  the  temper  is  irritable ; 
there  is  lowness  of  spirits ; confusion  of  thought,  or  of  ideas ; 
dizziness;  weakness  of  sight,  specks  appear  before  the  eyes;  the 
countenance  becomes  sallow  with  an  anxious  appearance,  skin  dry 
and  wrinkled  ; night-mare  is  of  common  occurrence;  twitching,  or 
spasmodic  action  of  the  muscles ; flushes  of  heat  and  cold  ; wan- 
dering pains  in  the  back  and  shoulders;  frequent  sighing;  a sense 
of  great  oppression  about  the  region  of  the  heart  ; noise,  or  singing 
in  the  ears. 

Causes . — One  of  the  most  frequent  causes  of  dyspepsia,  is  hasty 
and  imperfect  mastication  of  food ; want  of  exercise ; want  of  a 
tranquil  state  of  the  mind ; improper  food,  such  as-  powerful  stimu- 
lants, alcoholic  liquors;  too  frequent  use  of  warm  fluids;  the  use 
of  tobacco ; late  hours ; highly  seasoned  dishes ; profuse  evacua- 
tion ; sedentary  life ; long,  intense  study  ; indolence  ; over  indul- 
gence in  sleep ; breathing  impure  air;  venereal  excesses;  persons 
who  eat  rapidly,  and  at  the  same  time  drink  large  quantities  of 
water,  tea,  or  coffee  are  more  subject  to  it ; going  to  meals  from 
severe  bodily,  or  mental  exercise  is  very  injurious;  or  violent  ex- 


GENERAL  DISEASES. 


255 


ercise  after  meals;  eating  late  at  night,  or  just  before  retiring  is 
another  fruitful  cause;  anger;  jealousy;  great  joy;  night  watch- 
ing, etc.,  are  exciting  causes;  the  abuse  of  purgative  medicines, 
inducing  a torpid  state  of  the  bowels,  is  extremely  hurtful. 

GENERAL  TREATMENT. 

Good  cooking  is  a very  important  part  of  the  treatment  of  dys- 
pepsia ; the  food  should  be  well  cooked,  but  not  overdone  ; rare 
meats  are  the  best  for  dyspeptics.  Persons  subject  to  dyspepsia 
should  avoid  all  cured  meats  such  as  ham,  tongue,  smoked,  or  pick- 
led  meats,  sausages,  etc.,  also  raw  vegetables,  pickles,  salads,  etc. 
The  food  should  be  masticated  slowly  and  well  before  allowing  it 
to  enter  the  stomach,  each  mouthful  should  be  chewed  until  it  is 
gone,  for  food  when  well  chewed  will  enter  the  stomach  of  its  own 
accord  ; different  kinds  of  pastry,  hot  bread,  hot  biscuit,  eggs,  soups, 
highly  seasoned  dishes,  puddings,  etc.,  must  be  avoided. 

Pish  is  most  digestible  when  boiled,  is  less  so  when  broiled,  and 
is  least  so  when  fried.  Most  kinds  of  wild  game  may  be  allowed  ; 
mutton,  venison,  the  white  flesh  of  chickens  and  turkeys,  and  raw 
oysters,  roasted,  baked  or  boiled  ripe  fruits,  brown  or  wheat 
bread,  potatoes  may  be  used.  Tea,  coffee,  and  all  intoxicating 
drinks  should  be  avoided.  The  best  drink  is  water,  or  milk  when 
it  can  be  taken  without  unpleasant  symptoms.  Too  much  liquid 
should  not  be  taken  at  a meal,  and  it  is  better  that  the  patient 
should  not  drink  until  after  the  meal.  At  least  six  hours  should 
elapse  between  one  meal  and  another.  In  healthy  stomachs,  how- 
ever, from  three  to  four  hours  is  sufficient.  Persons  should  never 
travel  or  enter  upon  an  excursion  with  an  empty  stomach,  or  with 
on  overloaded  one.  In  drinking  it  is  better  that  it  should  be  taken 
by  sipping,  or  drinking  by  mouthfuls  than  by  large  draughts. 
After  exercise  of  any  kind,  such  as  riding,  walking,  etc.,  the  per- 
son should  rest  at  least  half  an  hour  before  taking  a meal,  and 
after  taking  a meal ; a rest  of  about  the  same  time  should  follow 
before  any  exercise  is  taken.  Walking,  running,  jumping,  danc- 
ing, sawing  wood,  or  rowing  a boat,  should  be  practiced  regularly 
every  day.  The  following  table  is,  with  slight  modification,  from 
Dr.  Leared. 

Easy  of  Digestion . — Mutton,  venison,  hare,  sweet  bread,  young 
pigeons,  partridge,  pheasants,  grouse,  beef  tea,  mutton  broth,  milk, 
turbot,  haddock,  flounders,  sole,  fresh  fish  generally,  roasted  oys- 
ters, stale  bread,  rice,  tapioca,  sago,  arrow  root,  asparagus,  seakale, 
French  beans,  cauliflower,  baked  apples,  oranges,  grapes,  straw 
berries,  peaches,  toast  water,  black  tea,  sherry,  claret. 


256 


OUK  FAMILY  PHYSICIAN. 


Moderately  Digestible . — Beef,  lamb,  rabbit,  turkey,  duck,  wild 
water  fowl,  woodcock,  snipe,  soup,  eggs,  not  hard  boiled,  butter, 
turtle,  cod,  pike,  trout,  raw  or  stewed  oysters,  potatoes,  turnips, 
cabbage,  spinach,  artichoke,  Jettuce,  celery,  apples,  apricots,  cur- 
rants, raspberries,  bread,  farinaceous  puadings,  jelly,  marmalade, 
rhubarb  plant,  cooked  fruits,  cocoa,  coffee,  malt  drinks,  port  wine. 

Hard  to  Digest . — Pork,  veal,  goose,  liver,  heart,  brain,  salt  meat, 
sausage,  hashes  and  stews,  mackerel,  eels,  salmon,  herring,  halibut, 
salt  fish,  lobster,  crabs,  shrimps,  muscles,  oil,  melted  butter,  hard 
boiled  eggs,  cheese,  fresh  bread,  muffins,  buttered  toast,  pastry,  cus- 
tards, nuts,  peas,  plums,  cherries,  dried  fruits,  cucumbers,  onions, 
carrots,  parsnips,  beets,  beans,  mushrooms,  pickles,  chocolate,  cham- 
pagne, cordials. 

As  a remedy  in  all  forms  of  dyspepsia,  Lactopeptine  unquestion-. 
ably  stands  firsthand  foremost.  Being  composed  of  all  the  digestive 
agents  that  act  upon  food,  it  becomes  a most  certain  remedy  in  this 
almost  universal  disease.  This  preparation  is  used  by  the  medical 
profession  of  all  schools  in  every  part  of  the  world.  The  late  Pro 
fessor  L.  P.  Yandell  says  ol  it : “It  is  one  of  the  certainties  in  med- 
icine, and  in  this  respect  ranks  with  Quinine  also,  J.  K.  Bauduy, 
M.  D.,  physician  to  St.  Vincent’s  Insane  Asylum,  and  professor  of 
nervous  diseases  and  clinical  medicine,  Missouri  Medical  College, 
says : “I  have  used  Lactopeptine  extensively  in  my  practice  during 
the  last  three  years,  in  many  cases  of  deranged  digestion,  in  cholera 
infantum,  vomiting  in  pregnancy,  etc.  It  has  never  disappointed 
me.” 

Administration  of  Lactopeptine. — For  adults,  give  from  one-half 
to  one  teaspoonful,  dissolved  in  a little  water.  Children  in  propor- 
tion. It  is  entirely  harmless. 

ECLECTIC  AND  HERBAL. 

For  the  acidity  and  hot  belchings,  take  an  emetic  of  from  five  to 
ten,  or  twenty  grains  of  Ipecac,  in  a teacupful  of  warm  chamomile 
or-other  tea  ; the  dose  should  be  repeated,  if  the  first  does  not  cause 
vomiting.  After  the  stomach  has  become  quieted,  give  a seidletz 
powder.  The  use  of  injections  is,  in  severe  cases,  or  in  the  eafce  of  a 
delicate  person,  much  better  for  moving  the  bowTcls  than  doses  of 
physic;  and  for  this  purpose  molasses  and  warm  water,  or  warm 
water  with  a little  salt  may  be  used.  If  there  is  acidity  of  the 
stomach  add  bicarbonate  of  soda  or  potassa,  1 oz.  Sourness  may  be 
corrected  by  taking  a seidletz  powder  once  or  twice  a day  ; for  wind 
on  the  stomach,  spearmint  or  peppermint  tea;  drank  warm.  If  there 


GENERAL  DISEASES. 


251 


is  colic,  take  a teaspoonful  of  paregoric  in  a little  hot  water. 
Where  there  is  constant  constipation  of  the' bowels,  the  following 
is  highly  recommended  : 


Oxide  of  Bismuth,  - 

. 

. 

- 

12  grains 

Aloes, 

- 

- 

- 

- 24  “ 

Make  into  twelve  pills  with  molasses,  or  a solution  of  gum 
arabic.  Dose,  four  pills  every  night  on  going  to  bed  until  the 
stomach  is  strengthened.  The  Oxide  of  Bismuth  m &y  be  used 
alone  in  powder,  five  grains  at  a dose,  where  the  daily  use  of 
physic  is  not  required.  It  may  be  taken  with  molasses  or  honey, 
or  any  kind  of  preserves. 

White  mustard  seed  is  an  old  and  much  used  remedy.  A dose 
should  be  taken  for  three  or  four  weeks  every  day.  Dose,  from  a 
half  to  a tablespoonful  of  seed  swallowed  whole  with  cold  water. 
The  heartburn  may  be  sometimes  readily  relieved  by  taking  a 
teaspoonful  of  super-carbonate  of  soda  in  a little  water,  or  half  a 
teaspoonful  of  saleratus  in  half  a cup  of  water.  Magnesia  taken 
in  doses  of  two  or  three  teaspoonfuls  in  a tumbler  of  water  is  an 
excellent  remedy. 

Pyrosis  or  Waterbrash  may  be  relieved  by  the  following  : 

Senna  Leaves,  .....  l ounce. 

Jalap,  powdered,  - - - - u 

Golden  Seal,  powdered,  ...  i u 

Fennel  Seeds,  powdered,  - - * -fa  u 

Aloes,  ......  2 drachms. 

Balsam  of  Tolu,  - - - * 1 ounce. 

Pour  on  this,  half  a pint  of  boiling  water,  stirring.  WTien  cold 
put  into  a quart  bottle,  and  fill  the  bottle  with  good  brandy  or 
whisky.  After  standing  two  hours  it  will  be  fit  for  use. 

Dose,  a tablespoonful  every  morning  before  breakfast. 

The  following  may  be  sometimes  used  : 

Tris  Nitrate  of  Bismuth,  ...  5 grains. 

Sulphate  of  Morphine,  ....  1-10  grain. 

Mix  for  one  dose. 

Prepared  charcoal  may  be  given  in  doses  of  a teaspoonful  throe 
times  a day,  in  some  cases. 

The  following  bitters  are  very  valuable  in  Dyspepsia  : 

Peruvian  Bark,  .....  1 ounce. 

Gentian  Root,  - - - - • . 1 u 

Orange  Peel,  - - • . - £ “ 

Coriander  Seed,  - - - - - - | “ 

Bruise  all  these  four  articles  in  a mortar,  or  other  vessel,  and  put 

IT 


258 


OUR  FAMILY  PHYSICIAN. 


them  in  a quart  of  French  brandy,  and  let  it  stand  four  or  five  days 
before  using. 

Dose,  from  half  a teaspoonful,  to  a teaspoonful  in  a wineglass 
of  water  about  an  hour  before  meals. 

Flatulency  and  Colic  may  be  removed  by  giving  one  or  two  drops 
of  Cajupet  on  sugar  ; or  by  the  Bi-sulphate  of  Soda  taken  an  hour 
or  two  after  meals. 

The  following  are  some  of  the  remedies  which  have  been  found 
valuable  in  the  treatment  of  dyspepsia : 

Powdered  Turkey  Rhubarb,  - - - 2 drachms. 

Carbonate  of  Soda,  48  grains. 

Simple  Syrup,  1 ounce. 

Mint  water,  .....  £ pint. 

Dose,  a tablespoonful  three  times  a day  before  meals. 

Rose  water,  - - - - - 1 pint. 

Sulphate  of  Magnesia,  6 drachms. 

Tincture  of  Cascarilla,  ...  1 ounce. 

Mix.  Dose,  three  tablespoonfuls  twice  a day. 

The  following  pills  are  recommended  : 


Aloes, 

3 grains. 

Rhubarb,  ...... 

Castile  Soap,  ...... 

3 “ 

3 “ 

Golden  Seal,  - 

60  “ 

Cayenne,  

Pulverized  Lobelia  Seed, 

20  “ 

20  “ 

Make  into  sixty  pills  with  extract  of  gentian, 
ight  on  going  to  bed. 

Another: 

Dose,  one  every 

Oxide  of  Bismuth,  .... 

4 drachms. 

Rhubarb,  - 

2 “ 

Aloes,  ....... 

1 “ 

Cayenne,  - 

1 “ 

Ipecac,  ...... 

30  grains. 

Mix  well,  and  make  into  one  hundred  and  twenty  pills  with 
mucilage  of  gum  arabic.  Dose,  one  pill  before  each  meal. 


HOMEOPATHIC. 

To  facilitate  the  choice  of  remedies,  the  disease  is  here  classified, 
with  the  remedies  attached  to  each  kind.  Before  selecting  a 
remedy,  consult  the  details  below  : 

For  dyspepsia  of  adults,  Aconite,  Antimony,  Arnica,  Belladonna, 
Bryonia,  Calcarea  Carb.,  Carbo  Veg.,  Chamomilla,  China,  Hepar 


GENERAL  DISEASES. 


259 


Sulphur,  Ipecac,  Mercurius,  Nux  Vomica,  Pulsatilla,  Phosphorus 
Sepia,  Sulphur,  Veratrum. 

Of  children,  Aconite,  Bryonia,  Calcarea  Carb,  Chamomilla, 
Ipecac,  Pulsatilla,  Sulphur.  . 

When  Dyspepsia  is  caused  by  prolonged  watching,  Nux  Vomica, 
Arnica,  Pulsatilla,  Veratrum,  Carbo  Veg. 

By  excessive  study,  Nux  Vomica,  Sulphur,  Lachesis,  Pulsa- 
tilla, Calcarea  Carb. 

By  abuse  of . ardent  spirits,  Nux  Vomica,  Sulphur,  Lachesis, 
Arsenic,  Carbo  Veg. 

By  the  abuse  of  coffee,  Nux  Vomica,  Ignatia. 

By  the  abuse  of  tobacco,  Nux  Vomica,  Hepar  Sulphur,  Coc- 
cuius,  Staphysagria. 

If  the  Dyspepsia  is  worse  after  drinking  cold  water,  Arsenic, 
China,  Pulsatilla,  Veratrum. 

After  drinking  beer,  Arsenic,  Calcarea  Carb,  Rhus  Tox,  Sepia, 
Sulphur. 

After  drinking  milk,  Bryonia,  Nux  Vomica,  Calcarea,  Sulphur. 

After  using  acids,  Nux  Vomica,  Sepia,  Sulphur,  Arsenic, 
Lachesis. 

After  using  bread,  Npx  Vomica,  Sulphur,  Pulsatilla,  Bryonia, 
Mercury. 

After  eating  fat  substances,  Pulsatilla,  China,  Carbo  Veg. 

If  Dyspepsia  is  combined  with  constipation,  Nux  Vomica,  Sul- 
phur, Bryonia,  Lachesis. 

If  with  diarrhoea,  Pulsatilla,  China,  Phosphoric  Acid,  Carbo 
Veg.,  Mercury,  Arsenic,  Veratrum. 

If  with  sour  stomach,  Pulsatilla,  Nux  Vomica,  Calcarea  Carb. 

If  with  piles,  Nux  Vomica,  Sulphur,  Sepia. 

Aconite . — When  at  the  commencement  of  the  attack  there  is 
considerable  fever,  with  thirst,  and  nausea  ; also  when  there  is 
redness  and  soreness  of  the  mouth  and  throat. 

Arnica.  — When  it  is  caused  by  a fall,  or  a blow  upon  the 
stomach,  with  pain,  and  a sensation  as  if  the  small  of  the  back 
was  broken ; tongue  covered  with  a thick  yellowish  coating  ; 
nausea,  with  inclination  to  vomit ; frequent  eructations  with  a 
putrid  or  bitter  taste  ; nervous  excitement  ; heaviness  of  the 
limbs. 

Nux  Vomica.  — Suitable  in  most  cases  of  dyspepsia,  at  the  com- 
mencement ; particularly  when  there  is  constipation  and  tendency 
to  piles  ; sour,  bitter  taste  in  the  mouth  ; when  food,  particularly 
bread,  tastes  sour,  bitter,  or  insipid  ; the  patient  has  not  much 
appetite,  but  a craving  for  beer,  wine  or  spirits  ; easily  satisfied 
with  food  ; after  eating  he  is  troubled  with  nausea  ; vomiting  of 
food  ; dizziness  ; heaviness  ; drowsiness  ; fullness  and  distention  of 
the  stomach  ; tender  to  the  touch  ; head  confused  ; reeling,  with 


260 


OUR  FAMILY  PHYSICIAN. 


dullness  in  the  head  ; headache,  increased  by  mental  exertion  ; 
ringing  in  the  ears  ; tongue  coated  white  ; metallic  ; bitter,  sour  or 
putrid  taste  in  the  mouth  in  the  morning,  or  after  eating  * heart- 
burn ; wind  colic  ; feeling  of  tightness  of  the  clothes  around  the 
vaist  ; sour  stomach  ; ineffectual  urging  to  stool  ; hard,  and  diffi- 
cult stool  streaked  with  blood.  Sulphur  suits  well  after  this. 

Sulphur.  — Especially  good  in  cases  of  long  standing,  or  when 
there  is  no  appetite  for  meat  and  bread,  but  with  a craving  for 
wines  and  acids  ; difficulty  of  breathing ; nausea  after  eating ; 
belching  and  vomiting  of  food  ; shivering  ; acidity  and  water 
brash  ; sour  stomach  ; mental  depression,  dissatisfied  with  every- 
thing and  everybody.  Calcarea  Carb.  suits  well  after  this. 

Pulsatilla.  — An  important  remedy  in  dyspepsia;  particularly 
for  recent  cases  caused  by  over  eating ; by  the  use  of  pork,  mutton, 
butter,  or  any  greasy  substance ; taste  of  the  food  comes  up  again 
in  the  mouth ; inclination  to  vomit,  especially  after  eating  or 
drinking;  taste  flat,  or  putrid,  resembling  bad  meat  or  tallow; 
pressure  in  the  pit  of  the  stomach,  especially  after  eating ; the 
patient  feels  chilly,  is  weak,  cross,  and  melancholy. 

Antimonium  Crudum.  — Particularly  useful  when  the  disorder  is 
caused  by  overloading  the  stomach,  and  the  following  symptoms 
are  present:  Taste  of  the  food  last  partaken  of  comes  up  in  the 
mouth,  gulping  up  of  particles  of  undigested  food  soon  after  eating; 
tongue  is  coated  with  a white  or  yellowish  mucus,  stomach  feels 
tender  to  the  touch,  and  distended. 

Belladonna.  — When  there  is  painful  distension  of  the  abdomen, 
with  griping,  as  if  the  bowels  were  clutched  ; hiccough  ; nausea, 
or  a loathing  of  food  ; vomiting  of  water  or  bile,  also  when  there 
is  dullness  of  the  head,  or  congestion  of  blood  to  the  head. 

Arsenic.  — Particularly  useful  in  chronic  cases;  when  the  coun- 
tenance is  sunken  ; the  extremities  cold  ; dark  circles  around  the 
eyes  ; nose  pointed  ; tongue  white,  or  brownish  ; also  when  there 
are  cramps  in  the  stomach  ; with  a sense  of  coldness  or  heat ; 
everything  taken  into  the  stomach  is  vomited  ; the  skin  is  hot  and 
dry.  If  Arsenicum  does  not  produce  a beneficial  effect,  give 
Lachesis. 

Bryonia.  — An  important  remedy  for  dyspepsia,  especially  when 
it  occurs  in  summer  ; also  when  it  is  accompanied  with  chilliness, 
headache  and  pain  in  the  limbs,  and  small  of  the  back  ; also  with 
the  following  symptoms  : Tongue  covered  with  yellowish  fur,  and 
dry  and  hot ; loss  of  appetite  ; bitter  taste  ; great  aversion  to 
food  ; sometimes  has  a great  craving  for  food  ; a craving  for  acid 
drinks  ; sensation  of  fullness  and  burning  in  the  stomach  alter 
meals  ; much  thirst ; gulping  up  of  particles  of  food  after  every 
meal ; water  brash ; constipation  of  the  bowels ; nausea  in  the 


GENERAL  DISEASES. 


261 


morning  ; burning  in  the  stomach  ; temper  irritable  and  obstinate. 
Should  Bryonia  produce  little  or  no  improvement,  give  Rhus. 

China.  — Dyspepsia  from  loss  of  blood  or  other  discharges,  when 
caused  by  an  impure  atmosphere,  and  when  the  following  symptoms 
are  present : Pressure  in  the  stomach,  as  if  from  a load  ; indiffer- 
ence to  food  and  drink  ; craving  for  wines  or  acids  ; flat  or  bitter 
taste  in  the  mouth  ; desire  for  a variety  of  dainties  without  know- 
ing which  ; morbid  craving  for  something  strong,  sharp  or  sour  ; 
weakness,  and  tired  feeling  ; the  patient  bends  and  stretches  his 
limbs  from  a sense  of  weariness. 

Cepa. — No  hunger,  but  considerable  thirst;  fulln^  cr  the 
head  ; pain  in  the  bowels  from  wind. 

Carlo  Veg. — Loss  of  appetite,  bitter  taste  in  the  mouth,  empty 
belching  of  air,  taste  of  the  food  after  it  has  been  taken,  nausea  in 
the  morning,  water  brash  during  the  night,  wind  colic,  rumbling  in 
the  abdomen. 

Calcarea  Carb.  — Particularly  for  children  who  have  a tendency 
to  scrofula  ; acidity  of  the  stomach,  frequent  belching  of  wind,  sen- 
sation of  fullness  in  the  head,  with  inclination  to  sick  headache  ; 
fullness  and  swelling  in  the  region  of  the  stomach,  with  tenderness 
to  the  touch,  gnawing  or  griping  pains. 

Chamomilla.  — Especially  for  dyspepsia  brought  on  by  a fit  of 
passion,  or  by  standing  in  a draught  when  perspiring  ; gulping  up 
of  food,  nausea,  vomiting  of  food  and  green  phlegm,  or  bile  ; cramps 
in  the  stomach,  headache,  fullness,  giddiness,  sleep  disturbed,  and 
tossing  about,  face  red  and  hot. 

Hepar  Sulphur.  — For  dyspepsia  when  caused  by  taking  blue  pills, 
or  other  preparations  of  mercury,  hungering  for  stimulating  things, 
wines  or  acids,  the  stomach  appears  to  be  very  sensitive  and  easily 
deranged,  though  the  patient  may  be  healthy  ; nausea  in  the  morn- 
ing, with  vomiting  of  sour,  bilious,  or  mucus  substances.  May  be 
given  in  alternation  with  Nux  Vomica,  if  there  is  hard,  light  col- 
ored stools,  or  with  Mercury  if  there  is  a whitish  diarrhoea. 

Ipecac.  — Especially  suitable  for  children  when  they  have  vom- 
iting of  food,  drink,  or  bile,  vomiting  with  coldness  of  the  face  and 
extremities,  tongue  coated  with  a white  yellowish  coating,  vomit- 
ing with  diarrhoea,  aversion  to  food,  particularly  of  fat,  rich  food, 
or  for  dyspepsia  caused  by  eating  turkey,  pastry,  etc. 

Mercurius.  — Belching  of  acrid,  bitter  substances,  putrid,  sweet- 
ish, or  bitter  taste  in  the  morning,  inclination  to  diarrhoea,  with 
straining  or  perspiration,  weak  digestion  with  constant  hunger, 
pressure  at  the  pit  of  the  stomach  after  eating.  Suits  well  before 
or  after  Lachesis. 

Phosphorus.  — Empty  belching,  especially  after  eating,  vomiting 
after  eating,  burning  in  the  stomach. 

Sepia. — For  chronic  dyspepsia  with  or  without  sick  headache, 


262 


OUR  FAMILY  PHYSICIAN. 


eructations  sour  or  putrid,  or  tasting  of  food,  swelling  of  the  abdo- 
men, with  pressure  as  from  a stone,  nausea  before  breakfast,  also 
after  eating,  nausea  of  pregnant  women. 

Lachesis. — Irregular  appetite,  an  aversion  to  bread,  with  a crav- 
ing for  wine  and  milk,  frequent  nausea,  and  vomiting  of  food, 
constipation,  uneasiness,  indolence,  heaviness.  Suits  well  before 
or  after  Mercury. 

Administration  of  Remedies. — In  recent  cases,  and  if  there  be 
much  pain  and  sickness  at  the  stomach,  take  of  the  selected  rem- 
edy a dose  every  half  hour,  hour,  two  or  three  hours.  As  soon 
as  the  severity  of  the  symptoms  begin  to  abate,  the  intervals  should 
be  lengthened.  In  chronic  cases  the  remedy  should  be  repeated 
three  times  a day.  When  the  globules  are  used,  use  ten  for  an 
adult. 

ALLOPATHIC. 

When  want  of  appetite  is  a symptom,  and  there  is  no  assignable 
cause  for  it,  take  the  following: 

Decoction  of  Bark,  - - - - 6 ounces. 

Sulphate  of  Quinine,  - - - - 8 grains. 

Dilute  Sulphuric  Acid,  - - - £ drachm. 

Compound  Tincture  of  Bark,  - - - £ ounce. 

Syrup  of  Orange  Peel,  - - - -2  drachms. 

Mix.  Dose,  a tablespoonful  three  times  a day. 

If  it  is  accompanied  with  pain  in  the  pit  of  the  stomach,  take 

the  following: 


Tris  Nitrate  of  Bismuth,  - - - 

Mucilage  of  Gum  Arabic,  - 

Syrup,  ------ 

Tincture  of  Hop,  - - — 

Tincture  of  Cinnamon,  --  - - 

Water,  - - - 


10  grains. 

£ drachm. 

£ drachm. 

£ to  1 drachm. 
£ to  1 “ 

1 ounce. 


Mix.  Take  at  one  dose,  and  repeat  two  or  three  times  a day. 

In  cases  of  either  acute  or  chronic  dyspepsia,  Benson’s  Capcine 
Plasters,  made  by  Seabury  & Johnson,  of  New  York,  worn  upon  the 
stomach,  will  often  prove  effective;  not  infrequently  they  will  give 
relief  when  internal  remedies  have  failed.  These  plasters  are  highly 
medicinal,  and  are  not  unpleasant  to  wear.  They  can  be  had  at 
any  drugstore. 

At  the  commencement  of  dyspepsia,  there  is  generally  derange- 
ment of  the  liver,  in  which  case  the  following  pill  may  be  used: 
Extract  of  Gentian,  - - - - £ drachm. 

Powdered  Rhubarb,  - - - - £ “ 

Blue  Mass,  - - - - — 4 grains. 


GENERAL  DISEASES. 


268 


Mix,  and  divide  into  twenty  pills.  Dose,  one  pill  three  times  a 
day,  for  a week. 

Nitro  Muriatic  Acid,  in  doses  of  three  or  four  drops,  acts  as  a 
mild  tonic,  and  may  follow  the  above  pills.  Where  nervous  de- 
bility is  prominent,  and  especially  in  chronic  cases,  the  following 
will  be  found  excellent : 


Pill  of  Carbonate  of  Iron,  2 scruples. 

Sulphate  of  Quinine,  1 scruple. 

Alcoholic  Extract  of  Nux  Vomica,  - 5 grains. 

Mix,  and  divide  into  twenty  pills.  Dose,  one  pill  three  times  & 
day. 

When  there  is  want  of  appetite  with  depression  of  spirits,  take 
the  following : 

Infusion  of  Gentian,  5^  ounces. 

Sesqui-carbonate  of  Ammonia,  \ drachm. 

Compound  Tincture  of  Cardamons,  - £ ounce. 

Mix.  Dose,  two  tablespoonfuls  two  or  three  times  a day.  At 
the  same  time,  take  the  following  pills : 


Powdered  Rhubarb,  ....  £ drachm. 

Castile  soap,  ......  l scruple. 

Powdered  Ginger,  • - • - 12  grains. 

Mix,  and  make  into  twelve  pills.  Take  two  pills  every  night, 
or  every  other  night. 

For  constipation,  the  preparation  known  as  Mettauer’s  Aperient 
is  very  highly  recommended.  It  is  as  follows  : 

Pulverized  Aloes,  -----  1-^  ounces. 

Bi-carbonate  of  Soda,  - - • - 4 u 

Compound  Spirits  of  Lavender,  - - 2 “ 

Water, 2 quarts. 

Put  the  whole  in  a jug,  and  let  the  mixture  stand  fourteen  day3, 
shaking  well  once  a day,  and  then  pour  off  the  dregs.  It  improves 
by  age. 

Dose,  a teaspoonful  immediately  after  meals.  This  preparation 
will  be  found  excellent  in  bilious  dyspepsia,  as  it  acts  upon  the 
liver.  In  bilious  cases,  a few  drops  of  Nitro  Muriatic  Acid  taken 
before  meals,  and  the  aperient  taken  after  meals  will  be  found  ex- 
ceedingly useful. 

Other  preparations  for  constipation  are  as  follows  : 

Pulverized  Rhubarb,  - - - • 2 ounces. 

Bi-carbonate  of  Potassa,  1 ounce. 

Mix.  Dose,  sufficient  to  produce  one  movement  of  the  bowels 
tach  day. 


264 


OCR  FAMILY  PHYSICIAN. 


Or  this  : 

Rhubarb,  - 

2 scruples. 

Aloes,  - 

- 1 scruple. 

Extract  Nux  Vomica, 

- - 4 grains. 

Mix,  and  divide  into  twenty  pills. 

Dose,  two  or  three  pills  each 

day,  as  often  as  required. 

Or  this  : 

Rhubarb,  .... 

4-  drachm. 

Compound  Extract  of  Colocynth. 

- ■ • i “ 

Mix,  and  divide  into  twenty  pills. 

Take  one  or  two  as  required. 

For  acidity  of  the  stomach,  give  prepared  charcoal,  in  doses  of  a 
teaspoonful,  or  carbonate  of  Magnesia,  or  Tris  Nitrate  of  Bismuth, 
a pinch  of  bi-carbonate  of  Soda,  or  a dessert-spoonful  of  lime 
water. 

For  heartburn,  give  a teaspoonful  of  Magnesia  or  chalk  in  a 
tumbler  of  cold  or  warm  water.  Lime  water,  or  fluid  magnesia 
will  be  found  useful  in  the  same  cases. 

Water  brash,  or  Pyrosis  may  be  relieved  by  ten  or  fifteen  drops 
of  Ammonia  in  half  a tumbler  of  water. 

To  effect  a permanent  cure  of  dyspepsia,  the  most  effectual  rem- 
edy is  Tris-Nitrate  of  Bismuth,  taken  in  doses  of  from  twenty  to 
thirty  grains  three  times  a day  at  meal  times.  When  there  is  con- 
siderable pain,  the  following  may  be  used  : 

Tris-Nitrate  of  Bismuth,  from  2 scruples  to  1 drachm. 

Magnesia,  - - from  2 scruples  to  1 “ 

Tinct.  of  Aloes,  ounce. 

Tinct.  of  Hops, J “ 

Water,  sufficient  to  make  six  ounces. 

Mix.  Dose,  a tablespoonful  twice  a day. 

Or  this  : 

Ammonio-ferric  Alum,  - - - - 2 scruples. 

Cinnamon  Water,  .....  4 ounces. 

Mix,  and  dissolve.  Dose,  a tablespoonful  every  two  or  three 
hours. 

For  stomach-ache,  or  cramp  in  the  stomach,  the  following  injec 
tion  will  sometimes  give  immediate  relief : 

Castor  Oil,  ------  2 ounces. 

Tinct.  of  Prickly  Ash  Bark,  - - - -J-  ounce. 

Compound  Tine,  of  Virginia  Snake  Root,  2 drachms. 

Infusion  of  Boneset,  i pint. 

Senna,  - - - - - • ^ u 

Mix,  and  use  as  an  injection. 


GENERAL  DISEASES. 


265 


The  Oil  of  Cajeput  in  doses  of  four  drops  on  a lump  of  sugar 
is  an  excellent  remedy.  Spirits  of  Camphor,  Essence  of  Ginger, 
and  Compound  Spirits  of  Lavender  are  popular  preparations  for  its 
relief.  A mustard  poultice  laid  upon  the  stomach  will  sometimes 
quickly  relieve. 

Nausea  and  Vomiting. 

Vomiting  is  generally  preceded  by  a peculiar  condition  called 
nausea,  or  sickness  at  the  stomach.  This  is  a sensation  unattended 
with  pain,  and  accompanied  with  languor  and  debility,  pale,  cool, 
and  moist  skin,  sunken  face,  etc.  After  this  condition  has  contin- 
ued for  a considerable  length  of  time,  vomiting  takes  place.  Vom- 
iting generally  occurs  as  a symptom  of  some  disease  ; sometimes, 
however,  it  is  found  alone  without  being  connected  with  any  other 
disease. 

TREATMENT. HOMEOPATHIC. 

When  vomiting  has  been  excited  by  eating  too  much  food,  it 
should  be  considered  beneficial,  and  drinks  of  warm  water  should 
be  frequently  taken,  to  promote  the  cleansing  of  the  stomach. 

The  following  are  the  remedies  which  may  be  used  in  different 
forms  of  vomiting  : 

Ipecac.  — This  is  the  first  remedy,  and  will  generally  be  all  that 
is  required.  If  vomiting  is  caused  by  an  overloaded  stomach,  Pul- 
satilla, Antimonium  Crudum,  Nux  Vomica,  Arsenic,  Rhus,  Bryonia, 
Sulphur. 

Vomiting  in  pregnant  females,  Nux  Vomica,  Ipecac,  Arsenic, 
V eratrum. 

If  caused  by  worms,  Cina,  Aconite,  Ipecac,  Nux  Vomica,  Carbo- 
Veg.,  Lachesis. 

If  it  occurs  after  drinking,  Arsenic,  Ferrum,  China,  Bryonia, 
Chamomilla,  Aconite,  Silicea,  Arnica. 

If  it  occurs  after  eating,  Pulsatilla,  Nux  Vomica,  Bryonia, 
Arsenic,  Ferrum.  I 

If  it  occurs  in  the  morning,  Nux  Vomica,  Arsenic,  Veratrum, 
Lycopodium,  Drosera. 

If  it  occurs  in  the  evening,  or  at  night,  China,  Nux  Vomica, 
Arsenic,  Veratrum,  Sulphur. 

Administration  of  Remedies . — Dissolve  twelve  globules  in  twelve 
teaspoonfuls  of  water,  and  give  a teaspoonful  every  half  hour 
until  better.  If  the  medicine  is  given  dry,  give  from  three  to  six 
globules  at  a dose.  If  the  patient  is  not  better  after  having  taken 
three  or  four  doses,  change  to  another  remedy. 


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OUR  FAMILY  PHYSICIAN. 


ALLOPATHIC. 

Generally  a dose  of  spearmint,  peppermint,  or  ginger  tea  mil 
readily  relieve.  Sometimes  brandy,  or  tincture  of  ginger,  or  pare- 
goric will  answer  every  purpose. 

If  it  is  caused  by  irritation  of  the  stomach,  the  following  may 
be  given  : 

Extract  of  Belladonna,  - * - 6 grains. 

Pulverized  Ipecac,  - - - - 10  u 

Confection  of  Roses,  ....  2 “ 

Mix,  make  into  thirty  pills.  Dose,  one  pill  twice  a day.  In 
obstinate  cases  one-sixth,  or  a quarter  of  a grain  of  morphine  may 
be  given.  A mustard  poultice  applied  to  the  stomach  will  some- 
times quickly  relieve.  An  injection  of  from  thirty  to  sixty  drops 
of  laudanum  with  two  ounces  of  thin  starch  will  be  found  an  excel- 
lent remedy.  Flannels  moistened  with  a decoction  of  cayenne 
pepper  in  spirits,  or  the  HI  of  turpentine,  may  be  used.  Lime 
water  and  milk  in  doses  of  a teaspoonful  of  each,  every  half  hour, 
or  two  hours,  are  useful  in  cases  where  there  is  not  much  excite- 
ment, and  especially  when  there  is  acidity  of  the  stomach.  Cre- 
osote in  doses  of  a drop,  repeated  as  often  as  required  will  some- 
times be  found  excellent. 

ECLECTIC  AND  HERBAL. 

If  there  is  irritability  of  the  stomach,  equal  parts  of  essence  of 
peppermint  and  laudanum,  and  tincture  of  camphor  may  be  given  in 
doses  of  half  a teaspoonful  in  an  infusion  of  spearmint.  Sometimes 
a teaspoonful  of  a strong  infusion  of  cloves,  or  of  ginger  and  cloves 
may  be  given  every  five  or  ten  minutes.  If  there  is  pain  in  the 
stomach  at  the  same  time,  add  eight  or  ten  drops  of  laudanum  to 
each  dose.  Tris  Nitrate  of  Bismuth  in  doses  of  five  or  ten  grains, 
with  one-eighth  of  a grain  of  Sulphate  of  Morphine  will  readily 
relieve.  An  infusion  of  parched  corn,  or  an  infusion  of  oat  meal 
made  into  a cake  with  water  and  then  burned  like  coffee,  will  check 
vomiting. 

Sea  Sickness. 

This  is  a peculiar  variety  of  vomiting  caused  by  riding  back- 
wards In  a carriage,  rocking,  or  waltzing,  as  well  as  sailing  in  a 
vessel.  The  person  affected  should  immediately  lie  down,  if  pos- 
sible in  the  open  air.  Seamen  advise  compression  of  the  aodomen 
by  means  of  a tight  girdle.  Raw  salt  oysters  are  generally  the 
most  easily  digested  in  this  condition  of  the  stomach. 


GENERAL  DISEASES. 


267 


TREATMENT. ECLECTIC  AND  HERBAL. 

A draught  or  two  of  cider  with  ten  or  twenty  drops  of  Laudanum 
will  frequently  relieve  ; also  brandy,  spirits,  or  champagne. 

HOMEOPATHIC. 

Scotch  ale,  herrings  and  lemons,  are  generally  relished  by  sea- 
sick persons.  The  remedies  are  : 

Cocculus.  — Giddiness,  headache,  nausea.  The  patient  feels 
better  when  lying  down. 

Nux  Vomica.  — The  same  as  Cocculus.  The  patient  feels  better 
when  not  in  the  open  air. 

Pulsatilla.  — The  patient  feels  better  in  the  open  air. 

Hyosciamus.  — This  is  an  important  remedy,  especially  when 
there  is  dizziness  of  the  head. 

Colchicum.  — May  be  given  after  Pulsatilla,  or  when  the  smell  of 
food,  or  the  floating  of  the  vessel  sickens. 

Arsenic.  — If  the  patient  becomes  very  weak,  and  there  is  vio- 
lent retching. 

Petroleum. — May  be  given  in  cases  of  great  debility.  For  con- 
stipation during  a voyage,  give  Opium,  Nux  Vomica,  Coccuhn, 
Lachesis,  Sulphur.  When  with  the  constipation  there  is  a desire 
for  acids,  give  Sepia. 

Administration  of  Remedies.  — The  same  as  in  “Nausea  and 
Vomiting.” 

Neuralgia  of  the  Stomach,  ( Gastralgia .) 

Neuralgia  of  the  stomach  is  attended  with  violent  pain  similar 
to  heartburn,  but  more  severe,  and  generally  of  shorter  duration  ; 
the  pain  occurs  irregularly,  sometimes  leaving  the  patient  alto- 
gether for  a time  ; it  is  sometimes  relieved  by  pressure,  but  this  is 
not  always  the  case.  The  affection  may  be  attended  with  difficulty 
of  breathing,  restlessness  and  palpitation  of  the  heart.  Hot  and 
stimulating  drinks  generally  relieve  the  pain.  There  are  pains 
and  contractions  in  the  pit  of  the  stomach,  sometimes  slight,  and 
sometimes  of  great  violence,  extending  to  the  chest  and  back. 
There  is  generally  a great  quantity  of  wind  belched  up,  which  re 
lieves  the  patient  for  a time. 

Counts.  — It  may  proceed  from  diseases  of  the  spinal  cord,  from 
any  derangement  of  the  nerves  of  the  stomach  ; from  disease  of  the 


268 


OUR  FAMILY  PHYSICIAN. 


spleen,  liver,  or  other  organs  ; from  the  abuse  of  ardent  spirits, 
coffee,  and  tea ; indigestible  food  ; anxiety  cf  mind  ; and  strong 
emotions.  Females  are  particularly  liable  to  this  disease.  It  is 
tsually  connected  with  some  derangement  of  the  menses. 

TREATMENT. ECLECTIC  AND  HERBAL. 

The  bowels  should  be  emptied  by  a mild  injection,  as  warm 
>fater  ; and  warm  fomentations  of  hops,  boneset,  tansy,  and  other 
Herbs,  placed  over  the  region  of  the  stomach,  followed  by  a mus- 
tard poultice.  Internally  give  the  compound  tincture  of  ipecac 
and  opium  as  often  as  necessary ; or,  in  some  cases,  compound 
tincture  of  lobelia  and  capsicum.  Rubbing  over  the  stomach  a 
liniment  composed  of  equal  parts  of  Laudanum,  tincture  of  Cam- 
phor, essence  of  peppermint,  and  oil  of  amber  will  be  found 
beneficial. 

HOMEOPATHIC. 

In  neuralgia  of  the  stomach  from  abuse  of  coffee,  give  Nux 
Vomica,  Ignatia,  Cocculus,  Chamomilla. 

From  the  abuse  of  liquors,  Nux  Vomica.  Arsenic,  Sulphur, 
Lachesis. 

From  indigestion,  Pulsatilla,  Antimonium  Crudum,  Bryonia, 
China,  Nux  Vomica. 

From  mental  emotion,  such  as  anger,  joy,  etc.,  Chamomilla, 
Colocynth,  Nux  Vomica. 

From  excessive  loss  of  fluids,  as  nursing,  perspiration,  blood 
letting,  etc.,  China,  Phosphoric  Acid,  Cocculus,  Nux  Vomica. 

From  rheumatism  or  gout,  Ipecac,  Bryonia,  Nux  Vomica,  Bella- 
donna, Calcarea,  Sulphur,  Rhus. 

If  the  menses  are  too  scanty,  Pulsauila,  Cocculus.  If  they  are 
1,00  profuse,  China,  Belladonna,  Calcarea  Garb.,  Platina. 

DETAIL  OF  SYMPTOMS. 

Nux  Vomica . — This  is  the  most  important  remedy  for  gastralgia, 
especially  when  the  following  symptoms  are  present.  Contracting, 
pressing,  and  spasmodic  pain  with  a sensation  of  drawing,  or 
clawing  in  the  stomach,  with  oppression  of  the  chest  as  if  it  were 
surrounded  by  a band.  The  pai’n  extends  into  the  back  and  loins. 
Vomiting  of  liquid,  or  sour  food  during  the  pain;  worse  after  a 
meal,  or  from  using  coffee  and  ardent  spirits.  If  Nux  Vomica  does 
not  relieve,  give  Chamomilla  or  Cocculus  in  alternation  with  it  every 
half  hour. 

Chamomilla.  — Pressure  in  the  stomach  as  if  from  a stone ; 
shortness  of  breath,  and  oppression  of  the  chest ; pains  worse  at 


GENERAL  DISEASES. 


269 


nignt,  with  great  anguish  and  tossing  ; sometimes  relieved  by 
drinking  ; patient  peevish  and  irritable.  This  remedy  may  be 
given  in  alternation  with  Coffea  if  it  does  not  relieve  when  given 
alone. 

Cocculus.  — Especially  when  Nux  Yomica  or  Chamomilla  give 
but  temporary  relief ; when  the  spasms  of  the  stomach  are  relieved 
by  belching  up  of  wind. 

Belladonna. — May  be  given  especially  when  Chamomilla  seems 
to  be  indicated,  but  does  not  give  relief,  and  when  the  neuralgia  is 
at  a time  of  ptofuse  menstruation.  Belladonna  may  be  given 
alternately  with  Coffea,  when  the  patient  is  restless,  and  can  not 
sleep. 

Pulsatilla.  — Particularly  useful  in  persons  of  a mild  and  sad 
disposition,  and  where  the  menses  are  tardy,  the  pains  are  shooting, 
and  worse  by  walking,  pains  in  the  stomach  caused  by  fasting,  or 
overloading  the  stomach,  nausea  and  vomiting  of  food,  not  much 
thirst,  pains  worse  in  the  evening  with  a feeling  of  chilliness. 

China . — Particularly  useful  after  loss  of  fluids,  as  blood-letting, 
liarrhoea,  etc.  Swelling  of  the  stomach  with  painful  pressure  and 
rumbling  of  wind. 

Ignatia.  — Follows  well  after  Pulsatilla,  especially  when  there 
are  bruising  pains  as  from  a stone,  after  a meal,  or  at  night,  burn- 
ing and  drawing  in  the  pit  of  the  stomach,  sensitive  to  the  touch, 
aversion  to  food  and  drink,  also  pain  from  indigestion,  fear,  etc. 

Carbo  Veg.  — May  be  given  when  the  spasms  are  caused  by 
spoiled  food,  also  in  attacks  which  occur  in  damp  and  wet  weather, 
particularly  if  there  is  painful  and  burning  pressure,  worse  on 
touch,  at  night.  Spasmodic  contraction,  pain  forcing  the  patient 
to  bend  double,  with  shaking,  worse  when  lying  down,  heartburn, 
the  thought  of  food  causes  nausea. 

Lachesis.  — Pressing  pain,  better  soon  after  a meal,  but  renewed 
shortly,  with  constipation  and  dyspepsia. 

Arsenic.  — Suitable  tor  gastralgia  when  the  pains  are  excessively 
severe.  Pain,  burning  as  if  from  hot  coals,  or  gnawing  and  cut- 
ting. External  coldness  and  violent  thirst,  but  only  small  quanti- 
ties of  liquid  can  be  drank  without  increasing  the  pains,  stomach 
enlarged  and  distended,  pains  extending  up  into  the  back,  or  down 
into  the  abdomen,  sensitiveness  to  pressure,  vomiting  of  a thick, 
yellowish  green  substance. 

Sulphur. — Pressing  pains  as  if  from  a stone,  generally  after  a 
meal,  nausea  and  vomiting,  acidity,  throwing  up  of  food. 

Bryonia.  — Pressure  in  the  region  of  the  stomach  when  eating, 
or  after  a meal,  with  a sensation  of  swelling  in  the  pit  of  the 
stomach,  a flow  of  water  into  the  mouth,  headache  and  dizziness, 
constipation.  May  be  given  in  alternation  with  Rhus  when  the 


270 


OUR  FAMILY  PHYSICIAN. 


pressure  in  the  stomach  is  very  great,  and  the  breathing  is  ob- 
structed, particularly  after  taking  cold. 

Staphysagria.  — Particularly  suitable  for  spasms  in  the  stomach, 
caused  by  anger  or  other  mental  emotions. 

Calcarea  Carb.  — Suitable  for  persons  with  full  red  face,  or  for 
females  who  have  their  menses  too  profuse  ; especially  after  Bella- 
donna has  g veil  partial  relief. 

Colocynth.  — The  spasm  begins  two  or  three  hours,  or  more, 
after  a meal,  especially  when  great  quantities  of  sweetmeats  have 
been  eaten. 

ALLOPATHIC. 

The  following  injection  may  sometimes  be  used  with  great 
benefit : 

Castor  Oil,  ......  2 ounces. 

Tincture  of  Prickly  Ash  Bark,  - ' i “ 

Compound  Tincture  of  Virginia  Snake  Boot,  2 drachms. 

Infusion  of  Boneset  and  Senna,  equal  parts,  pint. 

Mix,  and  give  at  one  injection. 

A good  remedy  is  the  oil  of  cajeput,  in  doses  of  four  drops  on 
a lump  of  sugar,  also,  spirits  of  camphor,  essence  of  ginger,  and 
compound  tincture  of  cardamon. 

The  following  will  be  found  very  beneficial : 

Sweet  Tincture  of  Bhubarb,  ...  4 ounces. 

Bi-carbonate  of  Soda,  - - - - 2 drachms. 

Mix.  Dose,  two  teaspoonfuls  to  a tablespoonful  as  often  as 
necessary.  In  some  cases,  a few  drops  of  the  tincture  of  cayenne, 
may  be  mixed  with  this  prescription,  with  benefit.  A mustard 
poultice  applied  over  the  stomach  will  relieve  in  some  cases. 


Stomach-Ache,  Griping  Colic,  ( Enteralgia .) 

The  term  colic  is  applied  to  almost  any  severe  pain  in  the 
bowels.  There  is  a peculiar  twisting  or  racking  sensation  behind 
the  navel,  accompanied  with  constipation  of  the  bowels,  and  some- 
times nausea  and  vomiting  ; the  pain  is  relieved  by  pressure,  with 
intervals  of  ease  ; the  belly  is  hard,  and  drawn  up  in  lumps  and 
knots,  and  distended  with  wind.  It  may  be  known  from  inflamma- 
tion of  the  bowels  by  the  fact  of  pressure  affording  relief ; the 
absence  of  fever,  and  the  occasional  absence  of  pain.  It  may  be 


GENERAL  DISEASES. 


271 


divided  into  three  varieties.  The  common  or  flatulent  colic,  bilious 
colic,  painter’s  colic. 

The  symptoms  of  flatulent  colic  are,  frequent  belching  up  of 
wind  without  relief,  violent  pain  with  a sense  of  twisting  or 
griping  about  the  navel ; pain  not  increased  on  pressure  ; occasion- 
ally disappearing  to  be  renewed  in  a short  time  ; feeling  of  fullness 
in  the  abdomen  with  constipation  ; rumbling  ; nausea  ; coldness  of 
the  stomach. 

Causes. — Indigestible  food,  wind,  over  distention  of  the  stomach 
by  articles  of  diet  which  give  rise  to  gases,  constipation,  exposure 
to  cold,  etc. 

Bilious  colic  is  sometimes  confounded  with  flatulent  colic,  but  is 
a more  violent  and  alarming  disease.  The  patient  generally 

before  an  attack,  complains  of  derangement  of  the  stomach  and 
bowels,  constipation,  loss  of  appetite,  coated  tongue,  bitter 
taste  in  the  mouth,  nausea,  vomiting,  as  the  disease  advances, 
the  pain  comes  on  and  is  of  a cutting  and  screwing  character, 
sometimes  commencing  in  the  region  of  the  stomach  and  extending 
to  the  back,  or  at  other  times  it  attacks  the  bowels,  twisting 
around  the  navel  as  in  common  colic.  The  pain  at  first  is  relieved 
by  pressure,  and  afterwards  the  bowels  are  tender  to  the  touch  ; 
the  extremities  cold,  with  a yellowish  hue  of  the  skin,  and  of  the 
whites  of  the  eyes  ; restlessness. 

Causes.  — Bilious  colic  may  be  caused  by  a neuralgic  affection 
of  the  stomach,  exposure  to  cold,  the  transferring  of  rheumatism  or 
neuralgia  to  the  stomach  or  bowels,  constipation,  etc. 

Painter’s  or  lead  colic,  is  a disease  caused  by  lead,  and  is  found 
among  those  who  work  in  lead,  as  painters,  plumbers,  miners,  type 
founders,  etc.  The  colic  comes  on  gradually,  being  preceded  with 
a feeling  of  general  depression,  despondency,  wandering  pains  in 
the  bowels  and  extremities,  heaviness  of  the  limbs,  derangement 
of  the  stomach  and  bowels  ; chilliness  ; depression  of  spirits  ; un- 
easy sensation  at  the  pit  of  the  stomach  ; this  sensation  gradually 
increases  until  it  becomes  excruciating,  and  extends  down  into  the 
bowels,  and  is  very  severe  and  twisting  in  its  character,  nausea. 


272 


OUR  FAMILY  PHYSICIAN. 


vomiting,  constipation,  headache,  great  thirst,  pains  in  the 
wrists  and  ankles ; the  pain  is  not  increased  by  pressure  ; the 
muscles  of  the  abdomen  however,  are  tender  to  the  touch,  some- 
times so  much  so  that  the  patient  cannot  bear  the  weight  of  bed- 
clothes ; sometimes  accompanying  or  following  the  attack  we  have 
paralysis,  particularly  of  the  muscles  of  the  fore-arm. 

TREATMENT.  HOMEOPATHIC. 

The  patient  should  be  placed  in  a warm  bath,  seated  in  a tub, 
and  covered  with  a blanket  to  confine  the  hot  steam.  After  being 
in  the  bath  for  about  ten  minutes,  he  should  lie  down  in  the  blan- 
kets without  being  wiped,  and  covered  with  sufficient  clothing,  hot 
bricks,  or  bottles  of  hot  water  should  be  placed  around  the  patient, 
especially  on  the  spots  where  the  pain  is  most  severe.  As  soon  as 
perspiration  occurs,  the  patient  will  be  relieved.  The  medicines 
may  be  given  from  the  commencement  of  the  attack.  The  different 
forms  of  colic,  with  the  remedies  applicable  to  each,  are  here  given. 

Bilious  colic  ; Nux  Vomica,  Colocynth,  Chamomilla,  Bryonia. 

Common,  or  flatulent  colic  : Pulsatilla,  China,  Cocculus,  Nux 
Vomica,  Colocynth,  Sulphur,  Carbo  Veg. 

Painter’s  or  lead  colic  ; Opium,  Platina,  Belladonna. 

Colic  from  worms  ; Mercury,  Cina,  Sulphur. 

Colic  from  indigestion  ; Pulsatilla,  China,  Bryonia,  Belladonna, 
Carbo  Veg.,  Nux  Vomica. 

Colic  from  a chill ; Aconite,  Colocynth,  Mercurius,  Nux  Vomica, 
Chamomilla. 

Colic  with  obstinate  constipation  ; Nux  Vomica,  Opium 

Colic  from  bathing  ; Nux  Vomica. 

Colic  from  exposure  to  cold,  damp  weather  ; Pulsatilla,  Rhus, 
Bryonia. 

Colic  occurring  in  children  ; Chamomilla,  Rheum,  Coffea,  Bella- 
donna, and  Aconite. 

Colic  occurring  in  pregnant  women  ; Nux  Vomica,  Bryonia,  Pul- 
satilla, Sepia,  Chamomilla. 

Colic  in  hysterical  women  ; Ignatia,  Nux  Vomica,  Cocculus. 

DETAIL  OF  SYMPTOMS. 

Colocynth.  — This  is  the  principal  remedy  for  all  kinds  of  colic. 
The  pains  are  cutting,  and  pinching,  or  as  if  the  bowels  were  cut 
with  knives.  Cramps  in  the  limbs,  shivering,  abdomen  swollen,  or 
else  very  empty  and  tender,  as  if  from  a bruise.  Chamomilla. 
Mercury,  and  Belladonna,  may  be  given  after  this. 

Nux  Vomica.  — Constipation,  with  pressure  in  the  abdomen,  the 
pam  is  pinching  and  drawing,  pressure  at  the  pit  of  the  stomach 


GENERAL  DISEASES. 


273 


with  swelling  and  tenderness  of  the  abdomen  when  touched,  grip- 
ing in  the  abdomen,  with  cold  hands  and  feet. 

Belladonna.  — Pain,  as  if  the  bowels  were  grasped  by  the  finger 
nails,  relieved  by  pressing  upon  the  bowels,  or  upon  doubling,  a 
feeling  of  bearing  down  as  if  something  would  fall  out,  head  and 
face  hot  and  red,  severe  pain  in  the  head  rendered  worse  by  move- 
ment, throat  dry.  May  be  followed  by  Mercury,  or  Hyosciamus. 

China.  — Excessive  swelling  of  the  abdomen  with  fullness  and 
pressure,  as  from  hard  bodies  ; pain  with  stoppage  of  wind,  worse 
at  night. 

Pulsatilla.  — Shooting,  biting  pains  in  the  pit  of  the  stomach,  a 
feeling  of  heaviness  and  fullness  in  the  abdomen,  with  tenderness 
and  pain  as  from  a bruise,  colic  caused  by  indigestion,  worse  when 
sitting  or  lying,  or  in  the  evening,  with  shivering,  patient  feels  bet- 
ter out  of  doors,  has  diarrhoea,  pale  face.  May  be  followed  by 
China,  Mercury,  Lycopodium. 

Cocculus.  — Particularly  useful  in  common,  or  flatulent  colic,  and 
for  colics  of  women,  before  and  at  the  time  of  their  menses,  the 
pains  are  spasmodic  and  constrictive  with  nausea  ; difficulty  of 
breathing ; full,  distended  stomach  ; or  a feeling  of  emptiness  in 
the  abdomen,  with  squeezing  and  tearing  in  the  stomach. 

Coffea.  — Great  pain  with  agitation  and  grinding  of  teeth,  cold- 
ness of  the  limbs. 

Ignatia.  — Colic  in  the  night,  with  shooting  in  the  sides  and 
chest,  relieved  by  discharge  of  wind  ; suitable  for  sensitive  and 
delicate  women. 

Bryonia.  — Fullness  and  pressure  in  the  abdomen  after  eating; 
cutting  pain  in  the  bowels,  especially  after  drinking  warm  milk  ; 
colic  with  diarrhoea,  after  taking  cold  ; or  in  the  heat  of  summer. 

Chamomilla.  — Tearing  pain  with  great  restlessness  ; bitter  vom- 
iting ; fullness  in  the  pit  of  the  stomach  ; one  cheek  red,  and  the 
other  pale  ; the  colic  appears  generally  at  night,  or  after  a meal. 

Rhus.  — Pressure  in  the  pit  of  the  stomach  ; pain  in  the  abdo- 
men at  night ; diarrhoea  of  slimy  and  watery  substances. 

Carlo  Veg.  — Swelling  and  fullness  of  the  abdomen;  belching 
up  of  wind  ; colic  after  riding  in  a carriage  ; colic  with  rumbling 
in  the  bowels  ; discharge  of  wind  with  a putrid  smell. 

Arsenic.  — Great  pain  with  uneasy,  burning  sensation,  or  sensa- 
tion of  cold  in  the  abdomen  ; pains  worse  at  night,  or  after  eating 
or  drinking ; vomiting  of  watery  or  bilious  matter  ; diarrhoea  with 
thirst,  shivering,  and  great  weakness. 

Veratrum.  — Pain  as  if  from  cutting  with  knives  in  the  abdomen  ; 
burning  in  the  abdomen  ; rumbling  of  wind.  May  be  given  in  al 
ternation  with  Arsenic,  in  severe  cases. 

Opium.  — Abdomen  hard  and  swollen;  obstinate  constipation 
with  vomiting  of  substance  from  the  bowels.. 

18 


274 


OUR  FAMILY  PHYSICIAN. 


Lachesis.  — In  spasmodic  colic,  especially  when  Colocynth,  Bel- 
ladonna, Nux  Yomica,  and  Chamomilla  have  been  given . without 
effect. 

Lycopodium.  — Swelling  and  fullness  of  the  stomach  with  pain  ; 
rumbling  of  wind.  May  follow  Pulsatilla  or  Lachesis. 

Platina.  — When  the  colic  is  in  consequence  of  fear  or  anger; 
or  when  caused  by  lead  ; the  patient  is  afraid  of  dying  ; contract- 
ing pains  in  the  abdomen  ; pressure  in  the  stomach  after  eating  ; 
the  colic  disappears  when  the  distress  of  mind  begins,  or  the  dis- 
tress of  mind  disappears  as  the  colic  begins. 

Aconite.  — Great  tenderness  of  the  abdomen  ; restlessness  and 
twisting  ; bowels  seem  to  retract ; desire  to  urinate,  with  unsuc- 
cessful attempt. 

Arnica . — Bruised  pain  in  the  sides  of  the  abdomen  ; fullness  in 
the  stomach,  as  if  one  had  eaten  too  much  ; stitches  in  the  pit  of 
the  stomach  ; oppression  on  the  chest,  worse  after  eating  and 
drinking,  or  on  touch  ; swelling  and  hardness  of  the  abdomen. 

Cina.  — Colic  from  worms,  with  pain,  especially  around  the 
navel. 

Mercury.  — Shooting,  or  violent  contracting  pains  in  the  pit  of 
the  stomach,  with  nausea ; frequent  desire  to  evacuate ; great 
quantity  of  saliva  in  the  mouth  ; abdomen  tender  to  the  touch  ; 
shivering  with  heat,  especially  in  the  face  ; pain  worse  at  night., 

Rheum.  — For  colic  particularly  in  infants,  when  accompanied 
by  diarrhoea  with  a sour  smell  ; or  in  adults  when  the  pains  are 
cutting,  forcing  one  to  bend  over  frequently,  pain  worse  when 
standing. 

Sepia. — -Colic  in  pregnant  women,  cutting  pains  after  motion, 
burning  and  stitches  in  the  abdomen  which  is  hard  and  swollen, 
sensation  of  bearing  down  in  the  abdomen,  with  pressure. 

Calcarca  Carb.  — Gnawing  or  cutting  pain  in  the  abdomen, 
uneasy  rumbling  in  the  bowels  with  a difficult  discharge  of  wind, 
acidity  of  the  stomach,  with  vomiting  oi  food,  diarrhoea  of  a light 
color. 

Administration  of  Remedies.  — Dissolve  twelve  globules  of  the 
selected  remedy  in  twelve  teaspoonfuls  of  water,  and  give  a tea- 
spoonful every  ten,  fifteen,  twenty  or  thirty  minutes,  according  to 
the  severity  of  the  symptoms.  Each  remedy  should  be  repeated 
three  or  four  times  before  changing  to  another.  The  intervals 
should  be  lengthened  as  the  patient  grows  better. 

Persons  liable  to  colic  should  be  careful  in  regard  to  their  diet, 
avoiding  all  green  vegetables,  acid  drinks,  etc.  During  an  attack 
only  the  slightest  nourishment  should  be  given,  as  toast  water, 
gruels,  etc.  The  feet  should  be  kept  warm  and  dry. 


GENERAL  DISEASES. 


275 


ALLOPATHIC. 

In  common  or  flatulent  colic,  an  emetic  should  be  given  first  ; a 
tabiespoonful  of  mustard,  or  a tablespoonful  of  salts,  in  a teacup- 
ful of  water.  Repeat  it  every  ten  minutes  if  necessary.  If  this 
does  not  relieve,  follow  by  a dose  of  salts,  or  salts  and  senna,  or 
magnesia.  If  there  is  any  sickness  of  the  stomach,  a little  essence 
of  peppermint  or  spearmint  in  hot  water  or  brandy,  or  brandy,  gin, 
or  whisky  in  hot  water,  will  sometimes  relieve  the  pain.  Ginger 
and  hot  water  are  sometimes  good. 

If  the  bowels  are  obstinately  constipated,  and  relief  is  not  ob- 
tained, an  injection  of  castor  oil,  salt  and  molasses,  or  soap  and 
warm  water  should  be  given.  Mustard  poultices  may  sometimes 
be  used  with  benefit,  applied  over  the  seat  of  pain. 


The  following  may  be  used  in  some  obstinate  cases  : 

Chloroform,  - - 

. 

1 ounce,  i 

Camphor  Water, 

• 

1 “ 

Peppermint  Water, 

. 

1 “ 

Mucilage  of  Gum  Arabic, 

• 

1 “ 

Mix.  Dose,  from  a teaspoonful  to 

a tablespoonful.  This  medi- 

cine  must  be  given  cautiously. 

In  bilious  colic,  the  following  injection  should 

be  administered 

immediately  : 

Thoroughwort, 

- 

1 ounce. 

Senna,  - 

. 

1 “ 

Lobelia,  ...  % 

• 

i drachm. 

Cayenne,  .... 

. 

10  grains. 

Epsom  Salts, 

• 

1 teaspoonful. 

Molasses,  - - 

• 

£ pint. 

Boiling  Water, 

■ 

1 “ 

Make  a strong  decoction  of  the 

herbs,  then 

add  the  salts  and 

molasses.  Give  at  one  injection. 

Or  this  : 

Wine  of  Ipecac,  • 

. 

1 ounce. 

Spirits  of  Turpentine, 

. 

1 “ 

Castor  Oil,  .... 

. 

1 “ 

Molasses,  - 

. 

i pinit. 

Warm  Water, 

• 

* “ 

Mix,  and  use  for  an  injection. 

If  the  stomach  will  bear  it,  the  bowels  may  be  opened  with 
castor  oil.  One  tablespoonful  of  oil  should  be  mixed  with  two 
tablespoonfuls  of  syrup  of  rhubarb.  Thoroughly  mix.  The  body 


276 


OUR  FAMILY  PBYSICIAN. 


should  be  placed  in  warm  water,  and  a warm  mustard  poultice  ap- 
plied over  the  whole  belly. 

A strong  decoction  of  wild  yam  root  drank  freely,  is  highly  re- 
commended. Croton  oil  given  in  doses  of  one  drop  done  up  in  a 
small  piece  of  bread,  will  sometimes  open  the  bowels  readily. 

When  colic  is  caused  by  torpidity  ol  the  liver,  the  following  may 
be  used  : 

Calomel,  - --  --  --  6 grains. 

Opium,  - 6 grains. 

Mix,  and  divide  into  twelve  pills.  Take  one  every  two,  three,  or 
four  hours. 

Burnett’s  Essence  of  Jamaica  Ginger  is  an  excellent  tonic  for  in- 
digestion and  pains  in  the  stomach,  and  a valuable  remedy  for  colic, 
cholera  morbus,  etc.  It  is  a stimulant,  acting  gently  on  the  stomach, 
and  warming  and  soothing  the  whole  system.  For  an  adult,  one 
teaspoonful  in  a wineglassful  of  sweetened  water,  is  a dose  ; for  a 
child  under  twelve  years,  half  a teaspoonful.  It  is  also  used  exter- 
nally with  excellent  effect,  and  is,  in  short,  a useful  thing  to  have 
always  at  hand. 

The  following  is  recommended  by  Dr.  Henry  Hartshorn,  of  Phila- 
delphia, as  an  excellent  prescription  to  prevent  attacks  of  colic  as 
well  as  sick  headache. 

Blue  Mass, 5 grains. 

Pulverized  Rhubarb  Boot,  - - - - drachm. 

Extract  of  Gentian,  - . i u 

Oil  of  Carophylli,  - - - - - 4 drops. 

Mix,  and  make  into  twenty  pills.  A pill  should  be  given  at  the 
first  threatening  of  any  of  the  symptoms  of  the  attack,  and  if  re- 
quired may  be  continued  three  times  a day  for  several  days. 

For  painter’s  or  lead  colic,  the  treatment  should  be  very  much  the 
same  as  for  bilious  colic. 

Alum  is  an  important  remedy  in  this  complaint.  It  may  be  used 
as  follows  : 

Alum, 15  grains. 

Aloes, 2 “ 

Jalap, 2“ 

Dover’s  Powder, 4“ 

Mix,  and  take  at  one  dose,  two  or  three  times  a day. 

Sulphate  of  Magnesia  may  be  used  in  some  cases  with  benefit,  es- 
pecially when  the  colic  comes  on  rapidly. 

Aromatic  Sulphuric  Acid  used  as  a drink,  in  doses  of  fifteen 
drops  to  a tumbler  full  of  water,  is  recommended. 


GENERAL  DISEASES. 


277 


Dr.  Eberle  recommends  alum  and  opium,  given  in  doses  of  twen- 
ty grains  of  alum,  to  one  grain  of  opium,  every  three  hours. 

Vinegar  diluted  with  water  and  taken  as  a drink,  is  said  to  re- 
lieve in  some  cases. 

For  the  paralysis  or  palsy  caused  by  lead,  the  Iodide  of  Potas- 
sium given  as  follows  is  recommended : 

Fluid  Extract  of  Sarsaparilla,  - - 4 ounces. 

Fluid  Extract  of  Pipsissewa,  - - 1 ounce. 

Water, 1 quart. 

Iodide  of  Potassium,  - - - - - 2 ounces. 

Mix.  Dose,  a tablespoonful  three  times  a day. 

The  Sulphurate  of  Potassa  in  the  proportion  of  one  ounce  to  a 
quart  of  water,  and  taken  in  teaspoonful  doses  three  times  a day, 
is  also  recommended. 

To  prevent  an  attack  of  lead  colic  or  palsy,  persons  who  work  in 
lead  should  comb  their  hair,  with  a very  fine  comb  and  wash  the 
hands  and  the  whole  body  freely,  and  the  clothes  should  be  changed 
upon  leaving  off  work.  Care  should  be  taken  not  to  apply  the 
hands,  when  soiled  with  lead,  to  the  mouth.  Washing  the  body 
with  saleratus  water  once  a day  should  be  practiced.  The  food  of 
the  workmen  should  not  be  carried  into  the  shop  where  it  is  ex- 
posed to  the  vapors,  and  floating  particles  of  lead. 

ECLECTIC  AND  HERBAL. 

For  flatulent  colic,  bathe  the  feet  and  legs  in  warm  water,  and 
apply  hot  water,  or  poultices  of  mustard,  or  hot  salt,  over  the 
stomach  and  bowels.  The  bowels  should  be  opened  with  a dose  of 
Castor  oil,  and  peppermint  or  ginger  tea  should  be  drank  freely. 
If  there  is  considerable  pain,  from  thirty  to  sixty  drops  of  pare- 
goric may  be  given  in  hot  water,  or  twenty-five  or  thirty  drops  of 
Laudanum.  In  more  severe  cases,  a mixture  of  equal  parts  of 
Laudanum,  tincture  of  camphor,  and  essence  of  peppermint,  may 
be  given  in  teaspoonful  doses.  If  the  Castor  oil  does  not  open  the 
bowels,  an  injection  of  warm  water  to  which  has  been  added  a 
teaspoonful  of  salt,  and  a teaspoonful  of  lard  should  be  given. 

The  Thompsonian  remedy  called  “ No.  6,”  which  can  be  pur- 
chased at  any  drug  store,  will  be  found  very  useful.  A teaspoon- 
ful of  spirits  of  turpentine,  taken  with  a teaspoonful  of  Castor  oil, 
will  sometimes  immediately  relieve. 

For  bilious  colic,  the  following  injection  should  be  given: 

Boneset,  ......  2 ounces. 

Senna,  -------  1 ounce. 

Water,  - - - - - 1 pint. 

Mix,  and  boil  thoroughly.  To  one  pint  of  this  decoction,  add 


278 


OUR  FAMILY  PHYSICIAN. 


half  a tablespoonful  of  salt,  half  a pint  of  molasses,  and  a table 
spoonful  of  compound  tincture  of  Lobelia  and  Capsicum.  Give 
the  whole  warm,  for  an  injection,  and  repeat  every  ten  or  fifteen 
minutes,  until  the  bowels  are  emptied. 

Fomentations  of  hops,  stramonium  leaves,  or  hops  and  lobelia,  or 
wormwood,  boneset,  etc.,  may  be  used,  and  applied  warm  over  the 
whcle  stomach  and  bowels. 


As  long  as  the  stomach  will  retain  medicine,  give  the  following  ; 

Epsom  Salts,  -----  8 ounces. 

Muriatic  Acid,  2 drachms. 

Boiling  Water,  - - - - 1 pint. 

After  it  is  cool,  add  half  an  ounce  of  essence  of  peppermint,  and 
half  an  ounce  of  essence  of  anise. 

Mix.  Dose,  a tablespoonful  every  half  hour  until  it  operates. 

A strong  decoction  of  equal  parts  of  skull-cap,  and  high  cran- 
berry bark,  to  which  has  been  added  a tablespoonful  of  the  com- 
pound tincture  of  Virginia  snake  root,  may  be  given  with  benefit. 

An  excellent  remedy  in  bilious  colic  is  the  tincture  of  ground 
walnut,  made  by  stirring  the  walnuts,  and  adding  enough  whiskey, 
or  diluted  alcohol  to  cover  them,  and  letting  the  mixture  stand  for 
a week  or  two.  Dose,  a tablespoonful  every  half  hour  until 
relieved. 

The  following  pill  will  sometimes  prevent  an  attack,  or  effect  & 
permanent  removal  of  the  disposition  to  the  disease  : 

Ext.  of  High  Cranberry  Bark,  • - 1 ounce. 

Aletridin,  - - - - - - 1 “ 

Dioscorein,  1 “ 

Capsicum,  - - - - - 1 “ 

Mix  thoroughly,  and  divide  into  pills  of  four  grains  each.  Dose, 
one  pill  each  day  about  an  hour  after  each  meal. 

For  painters’  or  lead  colic,  the  following  is  highly  recommended  : 

Sulphate  of  Magnesia,  ....  ^ pound. 

Powdered  Alum,  .....  1 ounce. 

Sulphuric  Acid,  1^  drachms. 

Boiling  Water,  ------  1^  pints. 

Mix.  Dose,  a tablespoonful  in  a wineglass  of  water  ; repeat  every 
hour  until  it  operates  upon  the  bowels.  To  prevent  the  acid  from 
injuring  the  teeth,  the  solution  may  be  sucked  through  a quill  or  a 
glass  tube.  After  the  bowels  have  been  freely  opened,  the  medi- 
cine should  be  continued  for  weeks  or  months  in  doses  sufficient  to 
produce  one  or  two  passages  every  twenty-four  hours.  The  sul- 
phuric acid  by  uniting  with  the  oxide  of  lead  in  the  system,  fornu 
the  sulphate  of  lead  which  is  a harmless  salt. 


GENERAL  DISEASES. 


279 


The  extract  of  Hyosciamus  given  in  pills  of  six  grains  each, 
and  repeated  every  two  hours,  is  recommended. 

Croton  oil,  given  in  doses  of  three  or  four  drops  in  a spoonful  of 
castor  oil,  or  milk,  repeated  every  two  hours,  will  be  found  useful 
in  some  cases,  to  operate  upon  the  bowels.  It  is  well  sometimes 
to  put  the  patient  in  a warm  bath  for  half  an  hour  or  more.  The 
treatment  should  be  very  much  the  same  as  in  bilious  colic. 

Alum  given  as  follows,  is  recommended : 

Powdered  Alum, 15  grains. 

Guaiacum,  - - - - - * 10  “ 

Aloes,  - 3 “ 

Mix,  for  a dose,  and  repeat  every  two,  or  three  hours. 

The  following  is  recommended  to  be  taken  by  persons  who  are 
exposed  to  the  bad  influence  of  lead  : 

Elixir  Vitriol,  ^ ounce. 

Tincture  of  Prickly  Ash  Berries,  - - 1 “ 

Dose,  a teaspoonful  in  a gill  of  water,  and  repeat  three  or  four 
times  a day. 

Inflammation  of  the  Stomach,  ( Gastritis .) 

Gastritis  is  an  inflammation  of  the  lining  membrane  of  the 
stomach,  and  may  be  either  acute  or  chronic.  The  acute  form, 
however,  is  a rare  disease,  and  is  generally  caused  by  acid,  and  cor- 
rosive substances  taken  into  the  stomach  ; as  arsenic,  corrosive 
sublimate,  nitric  acid,  and  the  habitual  use  of  liquor.  Blows  upon 
the  stomach,  and  sudden  checking  of  perspiration,  may  also 
excite  it. 

Symptoms . — In  severe  cases,  there  is  a burning  pain  in  the 
stomach,  with  thirst ; restlessness  ; constant  nausea  and  vomiting  ; 
great  desire  for  cold  drinks  ; anxiety  ; prostration  of  strength ; 
pain  increased  by  pressure  upon,  and  by  substances  taken  into  the 
stomach  ; the  thirst  is  intense  and  distressing,  for  fluids  unless  given 
in  very  small  quantities  are  immediately  rejected  ; there  is  some- 
times a severe  cough  which  is  very  annoying  ; the  tongue  is  either 
red  on  the  tip  and  edges,  and  whitish  in  the  middle,  or  is  red  all 
over  ; the  bowels  are  constipated  unless  the  inflammation  extends 
to  them,  when  we  have  diarrhoea.  As  the  disease  increases  in  vio- 


280 


cnm  family  physician. 


lence,  we  have  great  difficulty  of  breathing,  and  pain,  which 
increases  by  inspiration  ; great  loss  of  strength  ; hiccough  ; cold, 
clammy  sweats  ; skin  becomes  pale  and  cool  ; the  tongue  becomes 
smooth,  red  a\d  dry  ; vomiting  of  dark  colored  matter  ; delirium, 
stupor,  or  mivulsions  and  death. 

Chrome  inflammation  of  the  stomach  is  quite  a common  disease 
and  h frequently  mistaken  for  dyspepsia.  It  may  be  caused  by 
the  acute  form,  but  it  more  frequently  follows  attacks  of  fever,  as 
scarlet  fever,  small  pox,  etc. 

There  is  pain  in  the  stomach  which  is  increased  by  the  presence 
of  food,  or  by  pressure,  the  appetite  is  irregular  and  fastidious  ; the 
food  is  imperfectly  digested,  and  gas  which  is  exceedingly  offensive, 
escapes  by  the  mouth  ; the  appetite  will  sometimes  be  very  crav- 
ing, but  when  the  patient  takes  food,  he  is  easily  satisfied,  or  is 
made  sick.  At  other  times  the  appetite  is  entirely  lost  ; the 
tongue  is  white  in  the  center,  and  red  at  the  sides  and  tip  ; some- 
times smooth  and  red  all  over  like  beef ; if  the  inflammation  ex- 
tends to  the  bowels  there  will  be  diarrhoea  ; in  some  cases  cough 
is  present,  and  if  the  disease  is  allowed  to  continue,  all  the  symp- 
toms of  consumption  appear.  The  disease,  unless  well  managed, 
is  liable  to  cause  ulceration  of  the  coating  of  the  stomach,  and 
death. 

TREATMENT. ALLOPATHIC. 

If  the  disease  is  excited  by  poisons,  the  remedies  named  under 
Antidotes  for  Poisons  should  be  first  employed  ; after  the  poison  is 
drawn  off*,  or  neutralized,  leeches  should  be  applied  over  the 
stomach  ; care,  however,  should  be  used  in  applying  leeches,  that 
they  be  not  allowed  to  take  too  much  blood.  Mustard  poultices 
should  be  applied  to  the  feet,  and  along  the  spine,  and  over  the  pit 
of  the  stomach,  followed  by  hot  fomentations  of  stramonium 
leaves,  or  hops,  which  should  be  repeated  as  often  as  necessary. 
Emetics  are  not  proper,  but  the  following  injection  may  be  used  : 

Flax  Seed  tea,  - pint. 

Laudanum,  40  drops. 

Use  at  one  injection.  Or  this: 

Castor  Oil,  - 2 ounces. 

Tincture  of  Prickly  Ash  Bark  - - £ ounce. 


GENERAL  DISEASES. 


281 


Compound  Tincture  of  Virginia  Snake  Root,  2 drachms. 

Infusion  of  Boneset,  ....  -J-  pint. 

Infusion  of  Senna,  - - - - \ “ 

Mix,  and  give  at  one  injection. 

Cold  water,  ice  water  and  infusion  of  slippery  elm  bark  may  be 
used  as  drinks.  Lumps  of  ice  may  be  held  in  the  mouth,  or 
swallowed.  While  the  patient  is  recovering,  care  should  be  taken 
not  to  overload  the  stomach.  Arrow  root,  sago  and  milk  are  the 
first  articles  to  be  allowed ; these  may  be  followed  by  beef  tea, 
chicken  broth,  soft  boiled  eggs,  etc. 

In  chronic  inflammation  of  the  stomach,  leeches  may  be  applied 
over  the  stomach  with  advantage.  If,  however,  there  is  a little 
tenderness,  plasters,  or  mustard  poultices  may  be  applied,  or  croton 
oil  may  be  rubbed  over  the  region  of  the  stomach.  Care  should  be 
taken  with  the  diet ; only  the  most  simple,  and  unirritating  food 
should  be  used,  and  then  only  in  small  quantities  at  a time.  Gum 
arabic  water,  rice  water,  tea,  and  toast  without  butter,  barley 
water,  lime  water  and  milk,  tapioca,  jellies,  sago,  arrow  root  gruel, 
or  crackers  soaked  in  ice  water,  will  be  all  that  is  necessary  until 
the  patient  is  recovered. 

Internally,  the  following  may  be  given  : 

Nitrate  of  Silver,  .....  5 grains. 

Opium, 2^-  “ 

Mix,  and  divide  into  twenty  pills.  Dose,  one  pill  three  times  a 
day.  The  following  is  also  highly  recommended  : 

Sub-nitrate  of  Bismuth,  from  1 to  3 drachms.  Divide  into 
twelve  powders.  Dose,  one  powder  three  or  four  times  daily  in 
water. 

ECLECTIC  AND  HERBAL 

When  the  inflammation  is  caused  by  poisons,  the  antidote  should 
be  used,  and  followed  by  means  to  subdue  the  inflammation  of  the 
organ  ; mustard  poultices  should  be  applied  to  the  feet,  and  along 
the  spinal  column,  and  over  the  pit  of  the  stomach,  and  as  soon  as 
considerable  redness  has  been  produced,  hot  fomentations  of  hops 
and  stramonium  leaves  should  be  applied  in  their  stead.  The 
mustard  poultices  and  fomentations  should  be  renewed  as  often  as 
necessary.  The  whole  surface  of  the  body  may  be  bathed  several 
times  a day  with  weak  saleratus  water.  The  bowels  may  be 
opened  by  equal  parts  of  castor  oil  and  sweet  oil,  with  a portion  of 
magnesia  given  in  teaspoonful  doses,  repeated  every  hour  until  it 
operates.  An  infusion  of  slippery  elm  bark  and  marshmallow  root, 
or  elm  bark  and  peach  leaves,  may  be  used  as  a drink. 

When  the  disease  is  in  a chronic  form,  the  diet  should  be  the 


282 


OUR  FAMILY  PHYSICIAN. 


same  as  recommended  under  allopathic  treatment.  Mustard  poul 
tices,  or  other  mild  counter-irritants  should  be  applied  over  the 
region  of  the  stomach,  and  repeated  until  the  tenderness  upon 
pressure  is  removed.  The  following  mixture  is  recommended  by 
Dr.  John  King  : 

Fluid  Extract  of  Cubebs,  • - - 1 ounce. 

Mucilage  of  Gum  Arabic,  • - - - 2 “ 

Essence  of  Lemon,  1 drachm. 

Lupulin,  8 scruples. 

Tris-Nitrate  of  Bismuth,  8 “ 

Mix.  Dose,  a teaspoonful  three  or  four  times  a day.  The 
mixture  should  be  well  shaken  each  time  before  taken.  At  the 
same  time  use  an  infusion  of  equal  parts  of  golden  seal,  and 
Solomon’s  seal,  in  doses  of  a table-spoonful  repeated  every  hour  or 
two.  If  there  is  obstinate  constipation,  rhubarb  may  be  given  in 
doses  of  from  three  to  ten  grains.  When  the  patient  is  troubled 
with  wind  on  the  stomach,  it  may  be  removed  by  using  essence  of 
peppermint,  essence  of  anise,  etc.,  given  in  a small  quantity  of 
sweetened  water. 

HOMEOPATHIC. 

The  principal  remedy  in  this  disease  is  Arsenic,  to  be  given  espec- 
ially when  the  following  symptoms  are  present : The  countenance 
sunken  and  contracted,  stomach  swollen  and  hot  to  the  touch,  the 
patient  lies  upon  the  back,  breath  short,  rapid,  and  difficult,  tongue 
red  and  clean,  or  red  on  the  edges  with  dirty  fur  in  centre,  voice 
hoarse  and  suppressed,  skin  hot  and  dry,  burning  or  shooting  pain 
in  the  stomach,  griping  and  burning  pain  in  the  throat,  great  desire 
for  cold  drinks,  obstinate  nausea  and  vomiting,  great  tenderness 
over  the  region  of  the  stomach  on  pressure.  This  may  be  given 
in  alternation  with  Veratrum. 

Aconite . — Especially  when  the  pains  are  severe  and  the  heat  is 
great  in  the  stomach,  or  when  the  disease  is  caused  by  taking  cold 
drinks  when  overheated. 

Veratrum.  — Countenance  pale  and  sunken,  nose  pointed*  lips 
dry  and  bluish,  tongue  red  at  the  tip  and  edges,,  with  a dark  dry 
fur  running  through  the  center,  pulse  quick  and  weak,  extremities 
cold,  hiccough,  great  exhaustion,  burning  pain  in  the  stomach, 
short  and  troublesome  cough. 

Ipecac.  — May  be  given  after  Aconite  if  the  vomiting  is  very 
great,  and  the  disease  is  caused  by  indigestion. 

Pulsatilla.  — May  be  given  after  Ipecac  when  the  disease  is 
caused  by  indigestion,  or  a chill  in  the.  stomach  from  having  taken 
ice. 

Belladonna  and  Hyosciamus.  — May  be  given  in  alternation  (turn 


GENERAL  DISEASES* 


28S 


about,)  when  the  patient  is  nervous,  and  there  is  drowsiness,  delir- 
ium, and  loss  of  consciousness. 

Nux  Vomica  and  Lachesis.  — May  be  given  in  alternation  or  alone 
when  the  disease  is  caused  by  liquors,  or  by  the  abuse  of  coffee, 
wines,  or  stimulating  food. 

Opium  and  Camphor.  — Maybe  given  in  alternation  (turn  about) 
if  the  above  remedies  do  not  seem  to  relieve  the  case,  and  there  is 
drowsiness  and  stupor. 

Cantharis.  — May  be  given  in  violent  cases,  particularly  when 
the  burning  pain  is  intolerable. 

For  chronic  gastritis,  the  following  remedies  may  be  used  : 

Bismuth,  Bryonia,  Cuprum  Metallicum,  Digitalis,  Ilyosciamus, 
Fhosphorus,  Mercury.  Ignatia,  Tartar  Emetic.  The  diet  should  be 
the  same  as  under  allopathic  treatment. 

Administration  of  Remedies.  — Dissolve  twelve  globules  in  twelve 
teaspoonfuls  of  water  and  give  a teaspoonful  every  half  hour,  hour 
or  two  hours,  until  better.  If,  however,  the  symptoms  do  not  im- 
prove after  a few  doses,  then  at  once  select  another  remedy  and 
give  in  the  same  manner.  For  the  chronic  form,  the  remedies  may 
be  given  two  or  three  times  a day. 


Inflammation  of  the  Bowels,  ( Enteritis .) 

This  is  one  of  the  most  dangerous,  and  painful  of  diseases,  and 
should  always  be  placed  in  the  care  of  a physician.  It  is  an  in- 
flammation of  the  lining  membrane  of  the  small  intestines.  An 
inflammation  of  the  lining  membrane  of  the  large  intestines  is 
called  dysentery. 

Symptoms.  — The  disease  commences  with  a slight  chill  accom- 
panied by  thirst,  with  hot  skin,  and  more  or  less  pain  of  a griping 
character,  in  the  neighborhood  of  the  bowels,  which  gradually  in- 
creases until  it  is  of  a severe  burning  character.  The  pain  is 
increased  on  pressure,  so  much  so  that  the  patient  is  unable  to  bear 
even  the  weight  of  the  bed-clothes,  and  lies  usually  on  his  back 
with  the  knees  drawn  up.  The  pain  sometimes  comes  on  in  par- 
oxysms with  intervals  of  relief;  nausea  and  vomiting  are  present, 
with  fever,  tongue  furred,  and  red  ; thirst ; constipation  ; difficult 
and  painful  urination  ; vomiting  may  be  so  violent  that  the  con- 
tents of  the  intestines  may  be  thrown  up  ; sometimes  instead  of 


284 


OUE  FAMILY  PHYSICIAN. 


constipation,  there  will  be  diarrhoea,  the  discharges  being  either 
watery  or  mucus  tinged  with  blood,  or  perhaps  bilious.  In  bad 
cases  as  the  disease  advances,  the  belly  becomes  swollen,  the  pain 
increases,  the  pulse  becomes  weak  and  fluttering  ; hiccough  occurs  ; 
the  limbs  grow  cold,  and  the  features  are  pinched  and  sharp  ; the 
pain  ceases  and  a discharge  of  black,  fetid  fluid  occurs,  and  death 
soon  follows  from  mortification. 

Inflammation  of  the  bowels  may  be  mistaken  for  colic,  or  for  in- 
flammation of  the  peritoneum.  It  may  be  distinguished  from  colic, 
by  the  fever  symptoms  which  occur  in  inflammation  of  the  bowels, 
and  the  pain  on  pressure,  neither  of  which  are  found  in  colic.  It 
may  be  distinguished  from  inflammation  of  the  peritoneum,  by  the 
fact  that  diarrhoea  is  seldom  present  in  the  latter  affection,  and 
that  swelling  of  the  abdomen  with  tenderness  on  pressure  are  al- 
ways present  in  inflammation  of  the  peritoneum. 

Causes . — Irritating  and  indigestible  food;  colic;  exposure  to 
cold  ; obstinate  constipation  ; strangulated  hernia  or  rupture  ; it 
may  also  be  caused  by  the  driving  in  of  eruptions,  or  the  suppres- 
sion of  customary  discharges. 

TREATMENT. ECLECTIC  AND  HERBAL. 

The  feet  should  be  soaked  in  warm,  weak  lye  water,  and  flannel 
cloths  dipped  in  lye  water  should  be  applied  over  the  abdomen  ; or 
mustard  poultices  may  be  used  instead,  applied  to  the  abdomen, 
and  soles  of  the  feet,  and  along  the  spinal  column.  If  mustard 
poultices  are  used,  they  should  be  removed  after  they  have  pro- 
duced considerable  redness,  and  hot  fomentations  of  hops  and  tansy, 
or  hops  and  stramonium  leaves  should  be  applied,  changing  them 
every  half  hour  or  hour,  according  to  the  severity  of  the  pain.  At 
the  same  time  it  is  well  to  give  the  compound  tincture  of  Virginia 
Snake  root  in  doses  of  a teaspoonful  repeated  every  hour  or  two, 
given  in  warm  balm,  or  catnip  tea.  The  use  of  this  should  be  con- 
tinued until  the  patient  is  in  a free  perspiration,  which  should  be 
kept  up  for  two  or  three  hours. 

If  the  disease  is  caused  by  the  presence  of  acid  substances  in 
tli e bowels,  it  is  well  to  give  a large  tablespoonful  of  castor  oil, 
with  a teaspoonful  of  olive  oil,  and  half  a teaspoonful  of 
spirits  of  turpentine.  Repeat  every  two  hours  until  an  operation 
of  the  bowels  is  effected.  The  effect  of  the  medicine  may  be  aided 


GENERAL  DISEASES. 


285 


by  an  injection  of  a little  warm  milk  and  molasses,  with  a tea- 
spoonful  of  salts.  When  the  disease  is  caused  by  cold,  the  follow- 
ing may  be  used  : 

Tincture  of  Gfelseminum,  ...  4 drachms. 

Tincture  of  Aconite  Boot,  - 10  to  20  drops. 

Mix.  Dose,  half  a teaspoonful  every  fifteen  or  twenty  minutes, 
until  an  effect  is  produced,  when  the  intervals  should  be  length- 
ened. At  the  same  time  the  mustard,  etc.,  should  be  used. 

HOMEOPATHIC. 

The  treatment  of  this  disease  is  similar  to  that  for  inflammation 
of  the  stomach.  Aconite  should  be  the  first  used  and  continued 
as  long  as  the  fever  is  intense,  and  the  skin  very  hot.  After  this 
Arsenicum  and  Veratrum  should  be  given  alternately  (turn  about.) 
If  the  vomiting  is  violent  and  persistent,  after  having  used  these 
remedies  for  a considerable  length  of  time,  give  Ipecac.  In  some 
cases  Belladonna  and  Mercury  may  be  given  in  alternation  after 
the  Aconite  has  reduced  the  fever,  but  there  is  still  great  soreness 
of  the  abdomen  with  intense  thirst.  When  the  vomiting  is  so 
severe  as  to  throw  up  the  contents  of  the  bowels,  Opium  must  be 
given,  and  if  not  relieved  within  eight  or  ten  hours,  give  Plumbum. 
At  this  stage,  weak  injections  of  an  infusion  of  tobacco  will  some- 
times be  of  benefit.  A warm  bath  may  also  be  administered  with 
success. 

Administration  of  Remedies . — Of  the  selected  remedy  dissolve 
twelve  globules  in  twelve  teaspoonfuls  of  water,  and  give  a tea- 
spoonful every  one,  two,  three,  or  four  hours  according  to  the 
severity  of  the  symptoms.  If  the  pellets  are  used  give  six  at  a 
dose.  The  diet  should  be  of  the  mildest  description  as  gruel  made 
of  rice  or  flour  ; milk  and  water  ; milk  toast  and  gum  arabic 
water. 

ALLOPATHIC. 

Leeches  should  be  freely  applied  over  the  bowels,  or  blood  may 
be  taken  from  the  arm.  This  should  be  followed  by  poultices  of 
flax  seed  and  meal,  or  corn  meal  and  mustard  ; the  bowels  should  be 
opened  by  a mild  purgative  as  castor  oil,  or  epsom  salts  in  the  pro- 
portion of  two  drachms  to  an  ounce  of  peppermint  water,  every 
four  hours.  Injections  of  warm  water  may  sometimes  be  used  to 
open  the  bowels,  and  should  be  repeated  every  two  or  three  hours. 
Tincture  of  Veratrum  Yiride  should  be  given  in  doses  of  three  or 
four  drops  every  hour  or  two  in  a little  sweetened  water,  and 
should  be  continued  until  the  patient  is  in  a free  perspiration, 
when  the  intervals  between  the  doses  should  be  lengthened. 


286 


OUR  FAMILY  PHYSICIAN, 


Inflammation  of  the  Liter  — Liter  Complaint,  (Hepatitis.) 

Inflammation  of  the  liver  may  he  confined  to  the  membrane  cov- 
ering the  liver,  or  to  the  substance  of  the  liver,  or  may  affect 
both.  It  is  either  acute  or  chronic,  and  is  found  more  frequently 
in  hot  climates. 

Symptoms.  — The  attach  commences  with  symptoms  of  inflam- 
mation and  chilliness,  followed  by  more  or  less  fever,  with  a sensa- 
tion of  pricking  in  the  right  side,  and  with  pain  in  the  region  of 
the  liver  which  may  be  either  acute  and  lancinating,  or  dull,  when 
the  inflammation  is  confined  to  the  substance  of  the  liver.  The 
pain  may  also  shoot  up  to  the  right  shoulder  and  extend  over  the 
breast  ; it  is  aggravated  by  pressure  over  the  affected  part,  by 
coughing,  and  also  when  the  pacient  lies  upon  his  left  side,  the 
tongue  is  coated  yellowish,  dark  brown,  or  sometimes  black  ; and 
the  edges  are  frequently  very  red,  and  there  is  also  a putrid  and 
unpleasant  taste  in  the  mouth  ; sometimes  the  white  of  the  eyes 
and  the  skin  are  deeply  tinged  with  yellow. 

The  symptoms  of  chronic  inflammation  of  the  liver  are  various. 
The  patient  has  generally  a sense  of  fullness  or  weight  in  the 
right  side,  with  a dull  pain  extending  to  the  shoulder  blades  and  to 
the  pit  of  the  stomach,  there  is  generally’ considerable  tenderness 
over  the  region  of  the  liver,  and  the  patient  cannot  lie  comfortably 
on  the  left  side  ; there  is  yellowness  of  the  skin,  eyes,  and  urine  ; 
irregularity  of  the  bowels  ; sometimes  a dry,  hacking  cough  ; loss 
of  appetite  ; tongue  coated  brown  or  yellow,  or  whitish,  there  is 
generally  a bitter,  disagreeable  taste  in  the  mouth  ; the  patient  is 
apt  to  be  low  spirited  and  desponding,  or  irritable  and  peevish. 

Causes.  — Hepatitis  maybe  caused  by  cold  ; injuries  or  blows 
over  the  liver  ; intemperance  ; intense  heat,  violent  mental 
emotions  ; high  living. 

Chronic  Hepatitis  may  be  the  result  of  the  acute  form,  or  may 
be  caused  by  cold  ; use  of  liquors  ; improper  diet ; excess  of  all 
kinds  ; and  by  the  abuse  of  mercury. 


GENERAL  DISEASES. 


2o7 


TREATMENT . HOMEOPi  THIC . 

Aconite . — For  the  acute  form  ; stitcheo  in  the  region  of  the 
liver  ; great  pain  ; high  fever  ; tossing  about  ; anguish  ; dread  of 
death. 

Belladonna . — Pressing  pains  in  the  chest  and  shoulders  ; fullness 
in  the  stomach  ; dragging  in  the  region  of  the  stomach  ; dizziness 
witli  fainting  ; difficulty  of  breathing  ; great  thirst.  May  be  given 
after  Aconite,  and  in  alternation  with  Mercury  or  Lachesis. 

Bryonia.  — Aching  pains  with  fullness  in  the  right  side  ; tongue 
coated  yellow  ; violent  oppression  of  the  chest  ; rapid  and  anxious 
breathing;  constipation.  This  is  suitable  after  Aconite,  or  in 
alternation  with  Mercury. 

Mercury . — The  patient  cannot  lie  on  the  right  side  ; bitter  taste 
in  the  mouth  ; loss  of  appetite  ; thirst  ; shivering. 

Chamomilla.  — When  the  disease  is  caused  by  taking  cold,  or  by 
violent  anger  ; dull  pressing  pains  in  the  region  of  the  liver  which 
are  aggravated  either  by  pressure,  movement  or  breathing  ; oppres- 
sion of  the  chest  ; yellowness  of  the  skin  ; bitter  taste  in  the 
mouth. 

China.  — When  the  disease  is  caused  by  malaria  ; the  disease  is 
worse  every  other  day  with  stitching,  aching  pains  ; headache  ; 
bitter  taste  in  the  mouth  ; yellowish  coat  on  the  tongue. 

Lachesis. — For  disease  of  the  liver  caused  by  intemperance. 
May  be  used  after  Aconite,  Mercury  and  Belladonna  have  been 
insufficient. 

Nux  Vomica.  — Stitching  or  biting  pains  with  great  sensitiveness 
to  touch,  in  the  region  of  the  lAer  ; nausea,  with  sour,  bitter  taste 
in  the  mouth  ; thirst  ; headache.  * . 

Pulsatilla.  — When  the  disease  is  caused  by  indigestion,  and 
may  then  be  given  alternately  with  China  ; diarrhoea  ; greenish, 
slimy  stools  ; oppression  of  the  chest. 

Podojphyllin. — Voracious  appetite;  diarrhoea  immediately  after 
eating  or  drinking  ; sour  stomach  ; nausea  ; fullness  of  the  head  ; 
heart  burn  ; water  brash  ; heat  of  the  stomach  ; weight ; dragging 
pain  in  the  bowels  ; relieved  by  warmth,  and  bending  the  body 
forward  ; constipation  with  headache  ; stools  are  hard  and  dry,  or 
resembling  chalk,  and  are  very  offensive. 

Administration  of  Remedies.  — Of  the  remedy  selected,  dissolve 
twelve  globules  in  twelve  teaspoonfuls  of  water,  and  give  a tea- 
spoonful  every  two,  three  or  four  hours,  until  the  patient  is  better, 
when  the  intervals  should  be  lengthened. 

In  chronic  inflammation  of  the  liver,  a dose  may  be  given  morn- 
ing and  night.  The  above  remedies  are  su  table  for  the  chronic 
form. 

The  diet  should  be  very  plain.  No  meat,  or  meat  soup  should 


288 


OUR  FAMILY  PHYSICIAN. 


be  eaten.  Rice  and  oatmeal  gruel  ; lemonade,  cold  or  warm  , 
fruits  ; baked  apples  ; toast,  bread  and  toast  water  may  be  taken. 


ALLOPATHIC. 


Leeches  or  cups  should  be  applied  oyer  the  region  of  the  liver, 
freely.  The  bowels  should  be  opened  by  the  following : 

Pulverized  Gamboge,  - - - 12  grains. 

Pulverized  Scammony,  - * • 12  “ 

Elaterium,  ------  2 “ 

Croton  Oil,  - - - - - 8 drops. 

Extract  of  Stramonium,  3 grains. 

Mix,  and  make  into  twelve  pills.  Dose,  one  pill  every  hour  un- 
til it  operates.  Or  this  : 

Senna  Leaves,  .....  2 drachms. 

Water,  -------  1 pint. 

Let  the  Senna  Leaves  steep  in  the  water,  and  then  add  one 
ounce  of  Epsom  salts,  and  strain.  Dose,  a quarter  of  the  mixture. 
After  this  apply  a mustard  poultice  over  the  right  side,  also  over 
the  spine. 

The  Nitro  Muriatic  acid  diluted  with  water  until  it  is  about  the 
strength  of  sharp  vinegar  may  be  rubbed  over  the  stomach,  and 
will  be  found  to  be  very  beneficial.  Perspiration  should  be  in- 
duced by  the  Tincture  of  Veratrum  Yiride,  in  doses  of  from  three 
to  ten  drops  every  hour.  When  the  patient  is  recovering,  tonics 
should  be  used,  as  the  following : 

Chamomile  Flowers,  £ ounce. 

Cold  water,  ------  1 pint. 


Let  the  mixture  stand  for  an  hour  or  two  and  strain.  Dose,  & 
wine  glass  full  several  times  a day.  Or  this  : 

Nitric  Acid,  diluted,  2 drachms. 

Muriatic  Acid,  diluted,  - • 2 “ 

Syrup  of  Orange  Peel,  2 “ 

Tincture  of  Orange  Peel,  - • 2 u 

Water,  sufficient  to  make  one  pint.  Mix.  Dose,  a tablespoon- 
ful three  times  a day. 

In  chronic  inflammation  of  the  liver,  give  the  compound  pills  of 
Podophyllin,  or  the  following : 

Leptandrin,  .....  1 drachm. 

Podophyllin, 1 scruple. 

Apocynin,  - - - • - - 1 “ 

Extract  Nux  Vomica,  ....  6 grains. 

Castile  Soap, 1 drachm. 

Make  into  thirty  pills.  Dose,  one  pill  every  night.  If  Mercury 
is  used,  the  following  may  be  given  : 


GENERAL  DISEASES. 


289 


Mercurial  Pill,  - 2£  grains. 

Ipecac,  powdered,  \ grain. 

Confection  of  Opium  sufficient  to  make  one  pill.  Take  at  one 
dose,  and  repeat  every  night,  or  every  other  night. 

A daily  bath  of  weak  lye  water  should  be  used,  followed  by  a 
vigorous  rubbing.  Out  door  exercise  should  be  freely  taken. 

ECLECTIC  AND  HERBAL. 

In  mild  cases  the  patient  should  be  placed  in  a warm  bath,  and 
afterwards  put  to  bed  and  given  warm  drinks  and  allowed  to  per- 
spire freely.  If  the  attack  is  violent,  however,  the  compound 
powder  of  Lobelia  should  be  administered  until  he  vomits  freely. 
To  remove  the  constipation  of  the  bowels,  give  an  injection  of  one 
pint  of  warm  water,  one  tablespoonful  of  salts,  and  one  teaspoon- 
ful of  lard,  and  take  the  following  pills  at  bed-time  : 


Podophyllin,  ..... 
Leptandrin,  .... 

60 

grains. 

30 

u 

Sanguinarin,  .... 

30 

u 

Ipecac,  ..... 

- 30 

u 

Cayenne,  ..... 

30 

u 

Make  into  sixty  pills  with  extract  of  Dandelion.  Dose,  from 
two  to  four  pills  when  it  is  used  as  a purgative  ; and  when  it  is  de- 
sired that  the  liver  should  be  acted  on,  give  a pill  once  a day,  or 
every  other  day.  It  is  desirable  that  perspiration  should  be 
kept  up,  and  for  this  purpose  place  hot  bricks,  or  bottles  of  hot 
water  around  the  patient,  and  give  the  following  : 

Pleurisy  Root,  in  powder  ...  4 ounces. 

Boneset,  in  powder,  - - - - • 4 “ 

Bloodroot,  ......  3 drachms. 

Nitre, 3 “ 

Mix.  Dose,  from  ten  to  fifteen  grains  every  three  hours. 

The  extract  of  Dandelion  is  recommended  as  a valuable  remedy 
in  this  complaint.  Make  into  pills,  with  one  grain  of  Leptandrin 
in  each  pill,  and  take  one  every  night.  It  is  valuable  especially 
in  chronic  inflammation  of  the  liver.  In  chronic  inflammation  of 
the  liver,  use  the  pills  mentioned  under  treatment  for  acute  inflam- 
mation of  the  liver.  These  should  be  used  often  enough  to  keep 
the  bowels  regular,  and  produce  at  least  one  evacuation  a day. 

The  following  will  be  found  excellent  to  use  as  an  alterative  : 
Compound  Syrup  of  Stillingia,  - - 1 pint. 

Tincture  of  Black  Cohosh,  • - - 2 ounces. 

Iodide  of  Potassium,  ...  - 4 drachms. 

Mix.  Dose,  a teaspoonful  three  times  a day  in  a wineglassful 
of  water. 

19 


290 


OUR  FAMILY  PHYSICIAN. 


Jaundice,  (Icterus.) 

Jaundice  is  characterized  by  yellowness  of  the  skin  and  eyes, 
bitter  taste  in  the  mouth,  pain,  or  uneasiness  in  the  right  side,  the 
urine  is  yellowish  or  saffron  colored,  the  stools  are  whitish  or  clay 
colored  ; it  is  generally  preceded  and  accompanied  by  listlessness, 
loss  of  appetite,  drowsiness,  constipation  or  diarrhoea,  pain  at  the 
pit  of  the  stomach,  increased  after  meals. 

Causes.  - — Jaundice  may  be  produced  by  gall  stone  ; by  the  ob- 
struction of  the  flow  of  bile  into  the  bowels,  in  consequence  of 
which  it  is  taken  up  into  the  circulation  ; disease  of  the  liver  ; dis- 
ease of  the  heart ; by  the  pressure  of  tumors  on  the  liver  ; spasm 
of  the  gall  duct. 

TREATMENT. ALLOPATHIC. 

If  there  be  much  nausea,  give  the  following  emetic  : 

Tartar  Emetic,  .....  1 grain. 

Ipecac,  powder  .....  i scruple. 

Syrup,  ......  l drachm. 

Mint  Water,  - - - • * 10  drachms. 

Mix,  and  take  at  one  dose. 

Or, 

Tartar  Emetic,  .....  1 grain. 

Pulv.  Ipecac,  ......  1 scruple. 

Mix,  and  take  at  one  dose  in  a wineglassful  of  sweetened  water. 
It  is  sometimes  well  to  take  a dose  of  Calomel  of  from  five  to  ten 
grains,  at  bedtime,  and  an  ounce  of  Castor  Oil  in  the  morning. 
This  should  be  repeated  until  free  action  of  the  bowels  is  produced. 
Bi-carbonate  of  Soda  will  be  beneficial  sometimes,  taken  before 
meals.  In  some  cases  which  recover  slowly,  Nitro-Muriatic  Acid 
in  doses  of  three  or  four  drops,  two  or  three  times  a day  will  be 
very  beneficial.  Thoroughwort  made  into  an  infusion,  and  drank 
freely  every  day  is  recommended  as  a valuable  remedy. 

Wrhen  the  jaundice  is  occasioned  by  the  passage  of  gall  stone,  it 
causes  great  suffering,  as  may  be  imagined  when  the  substance  the 
size  of  a walnut,  has  to  pass  through  a tube  not  larger  than  a goose 
quill.  In  this  case  the  patient  should  drink  freely  of  hot  water  in 
which  has  been  dissolved  two  drachms  of  Carbonate  of  Soda  and 
Potash.  Opium  may  be  taken  in  doses  of  one  grain  and  repeated 
every  three  or  four  hours  until  the  pain  is  relieved.  Mustard 


GENERAL  DISEASES. 


291 


poultices  or  other  warm  applications  should  be  used  over  the  seat 
of  the  pain  and  a warm  bath  be  tried. 

ECLECTIC  AND  HERBAL. 

It  is  well  in  this  complaint  to  give  an  emetic  every  day  for  a 
week  or  two.  The  first  time  give  twenty  or  thirty  grains  of  Ipecac 
in  warm  water,  followed  by  four  or  five  of  the  liver  pills  mentioned 
under  inflammation  of  the  liver,  composed  of  Podophyllin,  Leptan- 
drin,  Ipecac,  etc.  Infusion  of  thoroughwort  is  also  recommended  ; 
two  teacupfuls  should  be  drank  at  a time  and  repeated  every  day 
for  a week  or  two.  No  other  medicine  need  be  taken  at  the  time 
this  is  used.  The  inner  bark  of  barberry  steeped  in  cider,  will  be 
found  valuable.  The  following  is  also  recommended  : 


Wild  Cherry  Bark,  in  coarse  powder,  - 1 ounce. 

Sheep  Laurel  leaves,  in  coarse  powder,  * 1 u 

Barberry  Bark,  in  coarse  powder,  1 u 

Bitter  Root,  in  coarse  powder,  - - - 1 “ 

Pure  Cider,  ------  4 pints. 


Mix,  and  let  it  stand  for  several  hours.  Dose,  a tablespoonful 
three  or  four  times  a day.  Cider  drank  several  times  a day  will  be 
found  useful  in  some  cases.  Raw  eggs  may  be  taken  every  morn- 
ing with  advantage.  The  bark  of  the  root  of  the  peach  tree,  and 
wild  cherry  bark,  made  into  bitters  with  whiskey  or  gin,  and  drank 
freely  three  or  four  times  a day  will  be  found  beneficial.  A strong 
tex.  of  peach  tree  leaves  taken  to  the  extent  of  half  a pint  a day 
is  also  good. 


HOMEOPATHIC. 

The  patient  should  be  kept  warm  in  bed  in  a warm  room,  and 
take  for  the  first  four  or  five  days,  Mercury  ; a dose  three  times  a 
day.  If  not  better  after  this  time,  give  Hepar  Sulphur,  or  Hepar 
Sulphur  and  Chelidonium.  In  obstinate  cases  give  Lachesis,  Nitric 
Acid,  or  Sulphur. 

For  Jaundice  caused  by  a fit  of  passion  or  disappointment,  give 
Chamomilla,.  China,  Nux  Vomica,  Pulsatilla. 

When  it  is  caused  by  the  abuse  of  Mercury  and  Calomel,  give 
China,  Hepar  Sulphur,  Lachesis,  Nitric  Acid,  Sulphur. 

When  persons  are  liable  to  Jaundice  from  very  slight  cause,  give 
Lachesis,  and  Sulphur  ; a dose  every  week  alternately. 

Administration  of  Remedies.  — Give  a dose  (four  globules)  of  the 
selected  remedy  tliree  times  a day.  When  two  remedies  are  given, 
give  every  four  hours  alternately,  or  on  alternate  days.  Warm 
baths  will  be  found  beneficial.  Constipation  may  be  relieved  by 
injections  of  either  cold  or  warm  water. 


292 


OUR  FAMILY  PHYSICIAN. 


Inflammation  of  the  Spleen,  ( Splenitis .) 

This  is  a disease  not  met  with  very  frequently,  and  it  is  then 
generally  associated  with  some  other  complaint. 

Symptoms . — It  commences  generally  with  the  common  symp- 
toms of  fever,  such  as  chills,  followed  by  heat,  thirst,  and  pain  in 
the  left  side  in  the  region  of  the  spleen,  with  tenderness  on 
pressure  ; sometimes  considerable  swelling.  The  pain  may  be 
very  dull,  or  severe  and  cutting  and  frequently  extends  over  the 
whole  abdomen,  and  shoots  up  into  the  left  shoulder  ; the  skin  is 
dry  and  hot  ; there  is  a feeling  of  tightness  about  the  heart ; short 
and  dry  cough  ; sickness  at  the  stomach  and  vomiting  ; the  urine 
is  scanty,  passed  with  difficulty,  and  highly  colored. 

Chronic  inflammation  of  the  Spleen  is  a very  common  affection, 
especially  in  countries  which  are  subject  to  fever  and  ague. 

Sy'mptoms.  — There  is  a feeling  of  weight,  tightness  and  pain  in 
the  left  side  ; sometimes  there  is  no  pain  or  soreness  unless  pres- 
sure is  made  over  the  organ  ; there  is  generally  obstinate  constipa- 
tion, and  chilly  sensations  ; the  spleen  is  sometimes  so  enlarged 
that  it  can  be  felt  by  the  hand,  when  it  is  called  11  ague  cake.” 
Often  there  is  numbness  ; difficult  breathing  ; palpitation  of  the 
heart  ; weakness  of  the  lower  limbs  ; nightmare  ; sense  of  tight- 
ness across  the  chest ; inability  to  exercise  much  ; vomiting  of 
food  ; dry  skin  ; low  spirits  ; in  some  cases  dropsy  occurs. 

Causes . — External  violence  ; suppression  of  customary  dis- 
charges ; drinking  of  cold  water  when  the  body  is  overheated  ; 
the  immoderate  use  of  alcoholic  liquors  ; violent  mental  emotions  ; 
long  continued  attacks  of  fever  and  ague. 

TREATMENT. ECLECTIC  AND  HERBAL. 

The  treatment  may  be  commenced  with  the  following  physic  : 

Pulverized  Jalap,  4 ounces. 

Pulverized  Senna,  - - - - 8 “ 

Pulverized  Cloves,  1 ounce. 

Mix,  and  sift  through  a fine  sieve.  Dose,  a tablespoonful  given 
in  a little  warm  water,  or  a little  brandy  and  water. 

In  the  chronic  form,  a plaster  made  of  the  yellow  of  eggs  and 


GENERAL  DISEASES. 


298 


salt  may  be  applied  over  the  region  of  the  spleen.  Common  salt 
taken  in  doses  of  one  drachm  three  times  a day  has  been  proven 
beneficial  in  some  cases.  The  inner  bark  of  white  ash  boiled  in 
white  wine  and  taken  in  doses  of  a wine-glassful  three  times  a day 
has  affected  cures  in  ague  cake.  The  treatment  of  this  disease 
should  be  very  much  the  same  as  for  inflammation  of  the  liver. 

HOMEOPATHIC. 

For  the  acute  form,  give  Aconite,  Bryonia,  China,  as  directed 
in  inflammation  of  the  liver. 

For  the  chronic  form,  give  Sulphur,  Calcarea,  Ferrum,  Carbo 
Vegetabilis,  Lycopodium.  Administer  the  same  as  directed  in  the 
chronic  form  of  inflammation  of  the  liver. 

ALLOPATHIC. 

The  treatment  should  be  similar  to  that  for  acute  and  chronic 
inflammation  of  the  liver.  For  the  chronic  form,  use  mustard  poul 
tices,  tincture  of  Iodine,  or  Croton  Oil  applied  over  the  region  of 
the  spleen. 

The  following  is  recommended  to  be  taken  : 

Pulv.  Peruvian  Bark,  ....  1 ounce. 

Pulv.  Rhubarb,  - - - - - £ drachm. 

Pulv.  Muriate  of  Ammonia,  1 “ 

Mix,  and  divide  into  eight  powders.  Dose,  one  powder  three 
times  a day. 

To  regulate  the  bowels,  and  keep  them  well  open,  the  following 
may  be  taken  : 

Podophyllin,  ------  4 grains. 

Leptandrin,  - - - - - - 8 “ 

Quinine,  ------  8 “ 

Ext.  Nux  Vomica,  - - - - - 2 “ 

Mix,  and  make  into  sixteen  pills.  Dose,  two  or  three  pills  a* 
bedtime. 

Worms. 

There  are  three  principal  varieties  of  worms  to  which  the  human 
race  is  subject.  The  Ascaris,  or  Pin  Worm,  also  called  the  maw 
or  thread  worm  ; it  is  very  small,  resembling  a white  thread,  from 
half  an  inch  to  an  inch  in  length.  The  number  is  sometimes 
rery  great,  forming  rolls  and  balls  in  the  intestines.  They  fre- 


294 


OUR  FAMILY  PHYSICIAN. 


quently  crawl  into  the  vagina,  or  urethra,  causing  a troublesome 
itching. 

Another  variety  is  the  Lumbricus,  or  Ascaris  Lumbricoides, 
which  is  a very  long,  round  worm,  about  an  eighth  of  an  inch  in 
thickness,  and  from  three  to  twelve  inches  in  length  ; it  very  much 
resembles  the  common  earth  worm.  They  are  found  generally  in 
the  large  intestines  and  sometimes  in  the  stomach,  and  not  unfre- 
quently  make  their  appearance  in  the  throat. 

The  third  variety  is  the  Taenia  Solium,  which  is  a long,  flat  tape 
worm,  varying  in  length  from  a few  feet  to  several  hundred.  It 
dwells  in  the  small  intestines,  and  feeds  on  the  chyle  which  is  the 
substance  of  the  food  after  it  has  passed  through  the  stomach,  and 
in  this  way  causes  great  emaciation,  exhaustion,  and  loss  of  flesh. 

Symptoms.  — The  symptoms  of  the  presence  of  worms  are  very 
obscure,  and  it  is  sometimes  impossible  to  check  them  until  they 
have  been  discharged. 

The  presence  of  the  thread  worm  may  be  known  by  the  annoy- 
ing and  intolerable  itching  within  the  anus  or  fundament.  In 
children,  worms  are  indicated  by  paleness,  itching  in  the  nose, 
grinding  of  the  teeth  ; starting  from  sleep,  irregular  appetite,  bad 
breath,  swollen  belly,  upper  lip  considerably  swollen  ; one  of  the 
cheeks  more  or  less  flushed. 

Tape  worm  may  be  known  by  a gnawing  pain  in  the  stomach  , 
irregular  appetite,  but  which  is  generally  voracious,  the  amount 
eaten  does  not  furnish  a corresponding  amount  of  nourishment  . 
the  patient  grows  thin,  and  there  is  frequently  a hard  cough  pres 
ent ; a sensation  as  of  something  suddenly  rising  from  the  left  side 
into  the  throat  and  falling  back ; dizziness,  particularly  in  tha 
morning  before  eating. 

TREATMENT.  — HOMEOPATHIC. 

Aconite. — Given  at  the  commencement  of  the  treatment  for  ner 
vous  irritability  which  is  generally  present.  A few  doses  may  be 

fiven,  and  repeated  every  two  hours.  If  this  is  not  effectual,  give 
gnatia  in  the  same  manner. 

Cina.  — This  is  the  principal  remedy,  especially  when  the  fob 


GENERAL  DISEASES. 


295 


lowing  symptoms  are  present : Boring  with  the  fingers  in  the  nose  , 
the  child  is  nervous,  and  cries  at  night  in  his  sleep  ; has  severe  at 
tacks  of  colic  ; picking  the  lips  ; face  sometimes  pale  and  cold,  at 
others  red  and  hot ; capricious  appetite  ; cross  and  fretful  ; face 
bloated  ; swelling  and  pain  in  the  abdomen  ; constipation  or  diar- 
rhoea ; grating  of  the  teeth. 

Nux  Vomica.  — - When  with  the  other  symptoms  there  is  consti 
pation,  severe  itching,  burning,  and  pricking  sensation  at  the  anu3. 

Spigelia. — -In  severe  cases  of  worm  colic  when  there  is  fever 
and  diarrhoea,  with  craving  appetite,  and  chilliness. 

Silicea.  — Especially  for  children  who  are  scrofulous. 

Belladonna.  — Colic  which  is  relieved  by  lying  on  the  bowels, 
starting  in  sleep,  headache. 

Lycopodium.  — Especially  when  there  is  great  itching  at  the 
fundament  or  anus. 

Teucrium.  — Is  recommended  by  Freligh  for  the  irritation  and 
itching  caused  by  worms. 

Santonin  is  an  excellent  remedy  for  the  different  varieties  of 
worms. 

For  the  tape  worm,  pumpkin  seeds  given  as  follows,  will  be 
found  effectual : 

Take  eight  ounces  of  the  seeds,  and  eat  at  night  four  ounces  on 
an  empty  stomach  ; then  in  the  morning  take  the  other  four  ounces 
having  steeped  them  in  hot  water,  and  drink  the  infusion.  Noth- 
ing should  be  eaten  until  noon.  This  will  generally  suffice  to 
expel  the  worm.  If  not  effectual,  repeat  the  next  night. 

Administration  of  Remedies.  — Give  a dose  of  the  selected  remedj 
three  times  a day  unless  the  symptoms  are  urgent  when  it  should 
be  repeated  every  two  or  three  hours. 

In  chronic  cases,  the  remedy  should  be  repeated  once  a day  and 
continued  for  a long  time. 

Diet.  — The  patient  should  avoid  all  heavy  food,  such  as  boiled 
vegetables,  rich  pudding  and  cake  ; but  he  may  be  allowed  meat 
soups,  roasted  or  boiled  meat,  and  milk. 

For  the  intense  itching  which  is  present  in  some  cases,  injections 
of  cold  watei,  or  water  to  which  has  been  added  a little  salt  or 
vinegar,  will  be  found  beneficial.  Sweet  oil  will  sometimes  answer 
the  purpose. 

ALLOPATHIC. 

The  following  is  a good  preparation  : 

Pink  Root,  .... 

Senna,  - 

Bi-tartrate  of  Potassa,  • 

Pulverized  Jalap, 

Cardamon  Seed, 

Extract  Liquorice, 


£ ounce. 

i “ 

1 drachm. 

k “ 

£ drachm. 

2 drachms. 


296 


OUR  FAMILY  PHYSICIAN. 


Mix,  and  add  half  a pint  of  boiling  water.  Let  the  whole  steep 
an  hour.  Dose,  a tablespoonfs.il  or  two  occasionally  until  the  worms 
are  expelled. 

For  over  over  fifty  years  B,  A.  Fahnestock’s  Vermifuge  has  been 
a standard  and  favorite  specific  for  worms.  Physicians  prescribe  it 
because  it  is  uniformly  and  invariably  effective.  Further,  it  posses- 
ses alterative  and  tonic  properties  which  correct  disorders  of  the 
stomach  and  bowrels,  the  disordered  condition  of  which  is  the  cause 
of  the  worms.  Like  all  other  old  and  valuable  remedies,  it  has  been 
counterfeited,  and  it  would  be  prudent  to  observe  particularly  that 
it  is  B.  A.  Fahnestock’s  Vermifuge,  and  not  a worthless  imitation. 

An  injection  of  simple  sweet  oil  is  sometimes  effectual  in  remov- 
ing pin  worms. 

Santonin  is  a very  effectual  remedy;  but  it  should  be  carefully 
used.  A dose  for  an  adult  is  from  three  to  six  grains.  For  a child 
half  a grain  once  or  twice  daily. 

For  tape  worm,  spirits  of  turpentine  is  an  excellent  remedy.  Give 
it  in  doses  of  half  an  ounce,  followed  by  the  same  quantity  of  castor 
oil,  or  give  the  two  at  the  same  time.  A decoction  of  Cabbage  Tree 
bark  is  also  recommended  for  tape  worm,  as  well  as  pumpkin  seeds. 

ECLECTIC  AND  HERBAL. 

Worm  seed  mixed  with  molasses  may  be  given  in  doses  of  a tea- 
spoonful and  a half  to  an  adult,  and  a teaspoonful  to  a child. 

Thoroughwort  tea,  or  tansy  tea,  is  also  good.  Poke  Boot  and 
Senna  is  an  effectual  remedy.  An  ounce  of  each  should  be  steeped 
in  hot  water,  and  a tablespoonful  taken  once  a day.  The  following 
is  recommended  in  some  cases  ; 

Castor  Oil,  - - - - - 1 ounce. 

Worm  Seed  Oil,  - - - - - - 1 “ 

Oil  of  Turpentine,  ^ “ 

Oil  of  Anise,  - - - - - m b “ 

Dose  for  a child  two  or  three  years  old,  ten  to  twenty  drops  every 
three  or  four  hours.  The  following  is  also  recommended  : 

Worm  Seed  Oil,  ounce. 

Oil  of  Tansy,  - - - - - - ^ u 

Oil  of  Turpentine,  £ u 

Croton  Oil.  ------  2 drachms. 

Castor  Oil,  ------  4 ounces. 

Mix.  Dose  for  a child  one  or  two  years  old,  half  a teaspoon fnl 
in  a little  warm  milk  for  three  days.  It  should  then  be  discontin- 
ued for  three  days,  and  again  resumed  for  three  days  more. 


GENERAL  DISEASES. 


297 


For  tape  worm  the  juice  of  Blue  Flag  is  recommended,  also  tak- 
ing freely  of  garlic  and  salt,  and  give  every  other  day  a purgative 
of  Mandrake  Root.  The  root  of  the  Male  Fern  has  been  success- 
fully employed  for  the  removal  of  tape  worm. 

Constipation  — Costiveness. 

This  is  one  of  the  most  common  disorders  to  which  mankind 
is  subject.  By  constipation  we  mean  a sluggish  state  of  the  bow- 
els, by  which  the  feces  are  retained  for  a longer  time  than  is  war- 
ranted by  health.  The  discharges  from  the  bowels  are  less  frequent 
than  in  health,  hard  and  dry,  and  small  in  quantity,  and  evacuated 
with  difficulty. 

Sy?nptoms.  — Headache,  dizziness,  want  of  appetite,  sometimes 

nausea  and  fever  symptoms,  heaviness  around  the  lower  part  of 
the  belly. 

Cateses.  — Sedentary  habits,  particularly  where  the  mind  is  closely 
applied  to  any  object,  astringent  articles  of  medicine,  nervous  dis- 
eases, inattention  to  the  desire  to  evacuate  the  bowels. 

GENERAL  TREATMENT. 

The  diet  should  be  closely  attended  to  in  this  complaint,  every- 
thing of  a binding  nature  being  avoided,  such  as  animal  food, 
especially  salt  meats,  cheese,  and  stimulating  drinks,  pastry,  highly 
seasoned  dishes,  etc.  The  patient  should  eat  all  kinds  of  fruit  and 
vegetables,  coarse  bread,  soups.  Cracked  wheat  is  excellent  for  the 
cure  of  costiveness.  Injections  of  cold  water  should  be  used,  and 
also  the  free  use  of  cold  water  as  a drink.  Every  one  should  attend 
promptly  and  regularly  to  the  calls  of  nature.  Probably  the  best 
time  for  this  duty  is  in  the  morning,  directly  after  breakfast.  Giv- 
ing attention  to  it  at  a certain  hour  each  day  will  do  more  to  estab- 
lish the  habit,  and  make  the  bowels  regular,  than  anything  else. 

ALLOPATHIC. 

A pill  of  Rhubarb  and  Cpvtlle  Soap,  one  half  of  a grain  each 
may  be  used.  Two  pills  should  be  taken  at  night. 


Sometimes  the  following  is  effectual : 

Resin  of  Podophyllin,  2 grains. 

Fluid  Extract  of  Rhubarb,  - - - 1 ounce. 

Fluid  Extract  of  Senna,  • * • I “ 

Oil  of  Cloves,  .....  4 drops. 

Syrup  of  Ginger,  ....  £ ounoe. 


293 


OUE  FAMILY  PHYSICIAN. 


A cold  decoction  of  Thoroughwort  drank  daily,  sometimes  has  a 
beneficial  effect.  Injections  of  warm  or  cold  water  should  be  used, 
and  will  generally  effect  a cure  without  resorting  to  purgative  medi- 
cines. A dose  of  an  infusion  of  Senna,  taken  occasionally,  may 
have  a beneficial  effect. 

Dr.  Tutt’s  Liver  Pills,  prepared  by  Dr.  W.  H.  Tutt,  of  New  York 
City,  are  highly  recommended  for  this  disease.  They  are  com- 
pounded from  a formula  used  by  Dr.  Tutt  in  his  practice  for  more 
than  twenty-five  years.  Their  action  is  such  as  to  effect  a cure  of 
indigestion  as  well  as  constipation  (the  one  being  the  cause  of  the 
other)  and  hence  the  lasting  benefits  which  follow  their  use.  They 
are  made  both  plain  and  sugar-coated,  and  can  be  procured  at  any 
drug  store. 

Tarrant’s  Seltzer  Aperient  is  another  excellent  remedy.  Its  pleas- 
ant taste  and  certain  action  render  it  a medicine  of  great  utility, 
and  physicians  of  all  schools  prescribe  it. 

ECLECTIC  AND  HERBAL. 

An  occasional  dose  of  a solution  of  Rhubarb,  or  a Seidlitz  Powder 
will  sometimes  be  all  that  is  necessary  to  relieve  the  bowels,  at  the 
same  time  paying  attention  to  the  diet. 

A mixture  of  Rhubarb  two  parts,  and  of  Bicarbonate  of  Potassa 
one  part,  taken  in  doses  of  six  grains  three  times  a day  in  a little 
warm  water,  about  an  hour  before  each  meal,  is  recommended.  The 
dose  should  not  produce  more  than  two  evacuations  a day,  and  it  is 
well  that  not  more  than  one  should  be  produced.  The  following  is 
also  recommended  : 

Aletridin,  - 20  grains. 

Extract  of  Nux  Vomica,  - - - • 1^  “ 

Podophyllin,  - 5 “ 

Mix,  and  divide  into  twenty  pills.  Dose,  one- or  two  every  night. 
An  injection  of  an  infusion  of  Boneset,  with  a little  molasses  added, 
is  sometimes  effectual. 

HOMEOPATHIC. 

The  principal  remedy  is  Nux  Vomica,  when  there  is  frequent  and 
ineffectual  urging  to  stool,  or  a feeling  as  if  the  anus  were  closed  ; 
disagreeable  taste  in  the  mouth  ; loss  of  appetite  ; swelling  of  the 
abdomen.  If  Nux  is  insufficient,  give  an  occasional  dose  of  Bryo* 
nia,  especially  if  the  disorder  occurs  in  warm  weather. 

Opium.  — May  be  sometimes  given  in  alternation  with  Nux 
Vomica,  especially  when  there  is  great  torpidity  of  the  bowels,  and 


GENERAL  DISEASES. 


299 


without  any  desire  to  stool ; redness  of  the  face  ; rush  of  blood  to 
the  head  ; headache. 

Platina.  — When  the  fece3  are  voided  in  small,  hard  lumps,  with 
much  difficulty ; shuddering ; sensation  of  weakness  in  the 
abdomen. 

Lycopodium.  — When  there  is  a painful  urging,  with  a severe 
- bearing  down,  but  inability  to  pass  the  feces. 

Antimonium  Crudum.  — In  cases  where  constipation  and  diarrhoea 
alternate. 

Sulphur.  — For  long  continued  constipation,  particularly  where 
the  patient  is  troubled  with  piles.  Also  when  there  is  frequent 
desire  to  stool,  but  without  any  result. 

Plumbum.  — For  obstinate  constipation,  the  stools  are  hard  and 
difficult,  and  the  feces  comes  away  in  hard  lumps  or  balls. 

For  constipation  of  pregnant  women,  give  Nux  Vomica,  Opium, 
Sepia.  For  lying  in-women,  Bryonia,  Nux  Vomica.  For  nursing 
infants,  Bryonia,  Nux  Vomica,  Opium,  Sulphur. 

Administration  of  Remedies.  — - Give  of  the  selected  remedy  a dose 
once  in  two,  three  or  four  hours.  When  the  remedy  is  given  dry, 
from  three  to  six  pills  at  a dose.  When  given  in  water,  dissolve 
six  globules  in  six  teaspoonfuls  of  water,  and  give  one  teaspoonful 
for  a dose.  Injections  of,  and  bathing  in  cold  water,  will  be  found 
very  beneficial. 

Diarrhoea. 

This  disease  is  of  frequent  occurrence,  especially  during  the  warm 
months  of  the  year. 

The  symptoms  are,  frequent  discharges  from  the  bowels  of  a 
more  or  less  fluid  character,  each  discharge  being  preceded  by  a 
rumbling  noise  in  the  bowels,  together  with  a sense  of  heaviness 
or  weight ; there  is  generally  more  or  less  griping,  and  sometimes 
nausea  and  vomiting ; when  the  discharges  are  frequent  or  in  large 
quantities  the  strength  of  the  patient  is  rapidly  reduced. 

Causes.  — Exposure  to  extreme  heat  and  cold  ; the  use  of  acids  ; 
indigestible  or  other  irritating  food  ; overloading  the  stomach  with 
food  ; violent  mental  emotions,  such  as  fear,  anger,  etc.  It  may 
also  be  caused  by  too  close  confinement  in  illy  ventilated  habita- 
tions, and  also  by  teething,  in  infants. 

GENERAL  TREATMENT. 

The  use  of  all  food  that  is  not  perfectly  easy  of  digestion  should 


300 


OUR  FAMILY  PHYSICIAN. 


be  forbidden,  as  well  as  acids,  coffee,  and  all  highly  seasoned  vege 
tables,  fruits,  fresh  meats,  and  soups  of  all  kinds.  The  patient 
may  be  allowed  toast,  rice,  boiled  milk,  oat  meal,  hominy,  arrow- 
root,  barley  water,  sago,  tapioca,  and  gum  arabic  water  ; boiled 
rice  flavored  with  cinnamon  may  also  be  allowed. 

ECLECTIC  AND  HERBAL. 

The  following  is  recommended  to  restore  the  action  of  the  liver, 
and  remove  irritating  matters  from  the  bowels  : 

Compound  Syrup  of  Rhubarb  and  Potassa,  4 ounces. 

Essence  of  Peppermint,  1 drachm. 

Paregoric,  ......  4 drachms. 

Mix.  Dose,  a tablespoonful  every  two,  three,  or  four  hours. 
Before  giving  the  above,  it  is  well  to  give  an  emetic  of  equal  parts 
of  Powdered  Lobelia  and  Ipecac. 

The  following  syrup  will  be  found  excellent  : 


Blackberry  Root,  finely  cut  up  and  bruised  8 ounces. 
Bayberry  Bark,  • - - - - 4 “ 

Cranes  Bill, 2 “ 

Gum  Myrrh,  ......  1 ounce. 

Cinnamon  Bark,  .....  2 ounceg. 

Fennel  Seed,  ------  £ ounce. 

Cloves,  ------  1 “ 


This  should  be  well  bruised,  and  put  into  six  quarts  of  water  and 
allowed  to  stand  for  six  or  eight  hours  slowly  simmering  over  a fire, 
until  boiled  down  to  about  one  half,  then  strain  and  boil  down  to 
twro  pints.  While  hot  add  one  pound  of  white  sugar,  when  cold  add 
one  pint  of  French  brandy.  For  an  adult,  give  a tablespoonful  at 
a dose.  This  will  be  found  an  excellent  preparation  for  all  kinds  of 
diarrhoea,  cholera,  and  cholera  morbus.  A decoction  of  a handful 
each  of  Blackberry  Root,  and  White  Oak  Bark,  with  half  an  ounce 
each  of  Cloves,  Cinnamon,  and  Allspice,  sweetened  with  loaf  su- 
gar, or  rock  candy,  will  be  found  good  in  some  cases.  Dose,  & 
tablespoonful  several  times  a day. 

If  there  is  nausea,  and  vomiting,  a mustard  poultice  may  be 
applied  over  the  stomach.  An  infusion  of  oat  meal  coffee  may  be 
sometimes  found  beneficial.  The  oat  meal  should  be  mixed  with 
water,  baked  or  browned  like  coffee,  then  powdered  and  made  into 
an  infusion.  For  the  pain  or  griping,  an  injection  may  be  used 
composed  of : 

Castor  Oil,  ......  1 gill. 

Molasses,  -------  £ pint. 

Warm  Water,  .....  £ u 

Laudanum,  ....  from  20  to  60  drops. 


GENERAL  DISEASES. 


301 


The  following  is  recommended  as  an  excellent  remedy  : 

Parch  half  a pound  of  rice  until  it  is  brown,  then  boil  it,  and 
eat  slowly. 

Pulverized  Rhubarb  burned  to  charcoal  and  powdered,  is  recom- 
mended. About  half  a teaspoonful  should  be  given  with  a little 
water  three  times  a day.  The  Rhubarb  may  be  burned  in  an  iron 
vessel  until  it  is  reduced  to  black  ashes. 

Chronic  diarrhoea  may  be  sometimes  cured  by  simply  eating  gum 
arabic,  or  drinking  freely  of  the  mucilage  of  the  gum.  The  follow- 
ing pills  are  recommended  for  chronic  diarrhoea  : 

Leptandrin,  ------  20  grains. 

Ipecac,  - - 20  “ 

Podophyllin,  - - - - - 5 “ 

Pulv.  Opium,  ------  8 “ 

Mix,  and  make  into  forty  pills  with  a little  extract  of  Dandelion. 
Dose,  one  pill  night  and  morning.  When  taking  these  pills  it  is 
well  to  wash  the  surface  of  the  body  once  a day  with  warm  saler- 
atus  water.  The  following  remedy  is  said  to  have  cured  some  of 
the  worst  cases  : 

Take  a quantity  of  well  smoked  old  fat  bacon,  slice  and  fry  it 
sufficiently  to  make  half  a pint  of  grease  ; while  frying,  slice  into 
it  several  good  sized  onions.  When  done,  pour  off  the  mixture, 
and  take  a teaspoonful  once  a day. 

The  following  may  be  found  good  in  some  cases : 

Powdered  Alum,  .....  2 grains. 

Powdered  Galls,  - • - - - 2 “ 

Pulverized  Camphor,  1 grain. 

Mix,  and  take  at  one  dose.  Repeat  immediately  after  each 
meal.  Decoction  of  Logwood  is  an  excellent  remedy  in  this 
disease.  A half  a teacupfui  should  be  taken  two  or  three  times  a 
day. 

HOMEOPATHIC. 

Dulcamara.  — For  diarrha3a  which  is  caused  by  cold  ; when  the 
evacuations  are  watery,  greenish,  or  yellowish  ; worse  at  night 
with  slight  pain.  It  may  be  followed  by  Bryonia. 

Aloe, s\  — Violent  stools;  the  whole  body  becoming  hot  during 
evacuation,  with  a feeling  of  sickness  at  the  stomach,  or  in  the 
region  of  the  liver  ; the  evacuations  have  a very  putrid  smell  and 
are  not  very  profuse  or  watery. 

Ipecac.  — - Evacuations  of  thin  mucus,  or  frothy,  fermented,  or 
yellow  stools,  with  considerable  pain  in  the  rectum  ; stools  with  a 
white  substance  scattered  through  ; paleness  of  the  -ace  ; great 
prostration. 


302 


OUR  FAMILY  PHYSICIAN. 


Chamomilla.  — Bilious,  watery,  or  slimy  diarrhoea,  the  evacua- 
ations  resembling  chopped  straw,  and  smell  like  rotten  eggs  ; 
coated  tongue  ; swelling  of  the  bowels  ; bitter  taste  in  the  mouth. 
Particularly  useful  when  diarrhoea  is  caused  by  cold,- fear,  or  anger 
and  for  diarrhoea  of  infants,  when  the  child  tosses  up  its  legs,  frets, 
worries  and  tosses  about,  and  wants  to  be  carried. 

Rheum.  — Sour  smelling  evacuations,  with  contractive  colic  in 
the  bowels  ; shuddering  when  evacuating  ; diarrhoea  from  acidity 
of  the  stomach  ; sour  smell  proceeding  from  the  child  which  is  not 
removed  by  washing.  Especially  useful  in  diarrhoea  of  infants  and 
in  diarrhoea  of  lying-in-women.  If  Rheum  does  not  relieve,  give 
Chamomilla. 

Mercurius.  — Suitable  for  almost  any  diarrhoea  ; especially  when 
accompanied  with  griping  in  the  bowels  before,  and  burning  in  the 
anus  after  stool  ; great  prostration  and  trembling ; evacuations 
bilious,  slimy  or  frothy  or  mixed  with  blood  ; violent  colic  ; bad 
breath.  Nux  Vomica,  will  sometimes  relieve  when  Mercury  seems 
indicated,  but  does  not  have  the  desired  effect. 

Colocynth.  — Bilious  or  watery  diarrhoea,  with  severe  cramp  like 
pains. 

Podophyllin. — Diarrhoea  with  cramp-like  pains  in  the  bowels* 
light  colored  and  offensive  stools  ; evacuations  frothy  and  slimy. 

Pulsatilla.  — Diarrhoea  from  indigestion,  with  watery,  offensive 
evacuations,  particularly  at  night,  bitter  taste  in  the  mouth  ; foul 
tongue. 

Bryonia.  — Diarrhoea  from  heat  of  summer. 

Arsenic . — Evacuations  burning,  with  severe  colic  pains.  May 
be  given  in  alternation  with  Veratrum,  or  in  alternation  with 
Carbo  Veg.  when  the  diarrhoea  is  putrid,  and  consists  of  undigested 
matter  ; or  watery,  slimy,  burning  evacuations. 

Magnesia.  — Diarrhoea  with  evacuations  resembling  the  scum  of 
a frog  pond,  green  and  frothy. 

Nux  Vomica.  — When  there  are  frequent  and  scanty  evacuations 
of  watery  and  greenish  substances,  accompanied  with  much  strain- 
ing and  pressing  down  pain.  May  be  given  sometimes  in  alterna- 
tion with  Mercury. 

Administration  of  Remedies.  — Of  the  remedy  selected,  dissolve 
twelve  globules  in  twelve  teaspoonfuls  of  water,  and  give  a tea- 
spoonful every  half  hour,  hour,  two  or  three  hours,  according  to 
the  severity  of  the  pain,  and  the  frequency  of  the  evacuations. 
If  the  pills  are  used,  give  three  or  four  at  a dose.  In  chronic 
cases  give  a dose  every  morning  and  evening. 

ALLOPATHIC. 

Compound  Syrup  of  Rhubarb  and  Potassa  may  be  given  in 


GENEBAL  DISEASES. 


303 


of  a tablespoonful  every  hour  until  it  operates,  to  overcome  the 
acidity  of  the  stomach,  and  allay  irritation.  Essence  of  Pepper- 
mint and  Spearmint  may  be  sometimes  added  to  it  with  good  effect, 
If  there  is  nausea  and  vomiting,  apply  mustard  poultices  over  the 
stomach,  and  give  a few  drops  of  Laudanum. 

For  either  slight  or  severe  attacks,  Wakefield’s  Blackberry 
Balsam  is  a most  excellent  remedy.  It  is  mild  and  pleasant  to  the 
taste,  and  easily  administered  to  children.  It  is  also  used  with 
the  most  favorable  results  in  cases  of  cholera,  cholera  morbus,  and 
dysentery,  or  any  looseness  of  the  bowels.  It  is  so  generally  in  use, 
especially  in  the  western  states,  as  to  be  counted  a family  remedy. 
All  druggists  keep  it,  and  full  directions  for  use  are  on  every  bottle. 

The  following  may  be  used  in  some  cases: 

Dilute  Sulphuric  Acid,  - - - 50  drops. 

Laudanum,  ^ - 15  drops. 

Peppermint  or  Cinnamon  water,  . 3 ounces. 

Mix.  Dose,  a tablespoonful  every  four  hours. 

If  there  is  much  griping  pain,  use  the  following  injection: 

Castor  Oil,  ------  2 ounces. 

Tincture  of  Prickly  Ash  Bark,  - - - \ ounce. 

Compound  Tincture  of  Virginia  Snake  Root,  2 drachms. 

Laudanum,  - - - - - - 20  drops. 

Infusion  of  Boneset,  £ pint. 

Infusion  of  Senna,  - - - - - \ pint. 

Mix,  and  give  at  one  injection. 

When  the  diarrhoea  resembles  dysentery,  injections  of  starch 
should  be  used,  and  the  following  pills  taken  at  the  same  time: 

Acetate  of  Lead,  -----  l grain. 

Opium, i u 

Make  one  pill,  and  repeat  every  three  or  four  hours. 

In  chronic  diarrhoea,  sometimes  a teaspoonful  of  brandy  given  in 
a little  sweetened  water,  or  cold  water,  and  repeated  several  times 
a day,  will  effect  a cure.  It  is  well  in  treating  a case  of  chronic 
diarrhoea,  to  take  as  little  nourishment  as  possible,  except  milk  and 
lime  water.  When  there  is  considerable  debility  the  following 
pills  may  be  taken: 

Quinine, £ drachm. 

Pulverized  Catechu,  - 1 “ 

Pulverized  Opium, 15  grains. 

Mix,  and  make  into  thirty-two  pills.  Dose,  one  pill  three  times 
a day. 


304 


OUR  FAMILY  PHYSICIAN. 


Dysentery,  ( Bloody  Flux.) 

This  is  an  inflammation  of  the  mucous  membrane  lining  the  large 
bowels. 

Symptoms.  — The  disease  commences  generally  with  a loss  of 
appetite  ; constipation  ; shivering  ; heat  of  skin  ; excessive  thirst 
etc.  It  sometimes  begins  with  diarrhoea  ; the  passages  are  small 
and  frequent,  and  are  composed  of  mucus  streaked  with  blood 
there  is  constant  straining,  and  desire  for  stool,  with  severe  pain, 
before  and  after  each  evacuation  ; there  is  painful  griping  of  th« 
anus  called  tenesmus. 

Causes . — Sudden  change  in  the  temperature  from  hot  to  cold 
unripe  or  sour  fruits  ; stale  vegetables,  or  meat ; drinking  cold 
water  when  heated. 

GENERAL  TREATMENT. 

The  patient  should  not  be  allowed  to  sit  up,  but  be  kept  very 
quiet.  For  food,  use  flour  porridge  well  boiled,  rice  water,  arrow 
root,  sago.  When  recovering,  a little  mutton  broth  may  be  allowed. 

HOMEOPATHIC. 

Aconite.  — Pain  in  the  bowels ; bilious,  or  thin,  watery  evacua- 
tions, mixed  with  mucus  and  sometimes  streaked  with  blood  ; pains 
in  the  head,.  neck  and  shoulders  ; pulse  strong  and  fast. 

Arsenicum.  — Suitable  for  cases  where  the  stools  pass  involun- 
tarily, and  have  a putrid  smell  ; the  patient  is  very  weak  ; burning 
pain  in  the  bowels  ; breath  cold.  May  be  given  either  alone,  or  in 
alternation  with  Carbo  Veg. 

Belladonna.  — When  Aconite  fails  to  relieve,  and  when  there  is 
dryness  in  the  mouth  and  throat  ; tenderness  of  the  bowels  ; 
tongue  coated  and  red  at  the  tip. 

Mercury.  — This  the  most  important  remedy  in  dysentery,  and  is 
useful  in  all  stages,  particularly  when  there  is  violent  straining 
before  and  after  evacuations,  as  if  the  bowels  would  force  them- 
selves out  ; a discharge  of  light  blood  sometimes  streaked  with 
mucus,  or  greenish  matter,  after  much  straining,  sometimes  the 
evacuations  resemble  scrambled  eggs  ; violent  colic  ; nausea  ; 
shivering  ; exhaustion  ; trembling  ; cold  perspiration  of  the  face  ; 
aggravation  of  pain  at  night.  May  be  given  in  alternation  with 
Colocynth,  when  there  are  severe  griping  colic  pains,  or  in  alterna- 
tion with  Aconite  or  Belladonna  if  there  is  fever. 

Chamomilla.  — Sometimes  useful  after  Aconite,  when  there  is 


GENERAL  DISEASES. 


305 


still  fever  with  headache,  coated  tongue,  naueca,  find  thirst. 
Especially  useful  when  the  attack  is  caused  by  suddenly  checked 
perspiration. 

Colocynth. — When  there  is  severe  pain  in  the  bowels  and  the 
discharges  are  mixed  with  green  matter,  or  else  are  slimy  and 
mixed  with  mucus  and  blood.  May  be  given  in  alternation  with 
Mercury. 

Podophyllin . — Cramplike  pains  in  the  bowels  ; stools  light 
colored  and  very  offensive,  or  frothy  and  mucus. 

Ipecac.  — Especially  of  benefit  when  the  disease  occurs  in 
the  fall,  or  when  the  mucus  or  slimy  passages  are  afterwards 
streaked  with  blood.  May  be  given  with  advantage  in  alternation 
with  Petroleum. 

Nux  Vomica.  — Small  and  frequent  discharges  of  bloody  slime  ; 
intense  heat  ; great  thirst ; burning,  cutting  pain  about  the  navel. 
May  be  given  in  alternation  with  Opium. 

Sulphur.  — Useful  in  obstinate  cases  ; an  occasional  dose. 

Administration  of  Remedies . — Dissolve  twelve  globules  in  twelve 
teaspoonfuls  of  water  and  give  a teaspoonful  every  half  hour,  hour 
or  two  hours,  according  to  the  urgency  of  the  symptoms.  As  the 
patient  grows  better,  increase  the  intervals  between  the  doses. 

For  chronic  dysentery,  a dose  of  the  remedy  three  times  a day 
is  sufficient. 

ALLOPATHIC. 

In  mild  cases  give  a teaspoonful  of  castor  oil  and  two  teaspoon- 
fills  of  paregoric  once  a day  ; or  a dose  of  castor  oil  with  ten  or 
fifteen  drops  of  laudanum,  if  the  prescription  is  given  at  the  com- 
mencement. Flax  Seed  or  Slippery  Elm  tea  may  be  used  as  a drink. 
If  there  is  pain  in  the  bowels,  apply  a mustard  poultice.  Injections 
of  starch  with  half  a teaspoonful  of  laudanum  will  be  found  ex- 
tremely beneficial.  The  compound  spirit  of  Rhubarb  and  Potassa 
will  be  found  useful  in  some  cases,  given  in  doses  of  a tablespoonful 
every  three  or  four  hours.  The  following  may  be  used  in  the 
early  stage  : 

Blue  Mass,  - - - • • • 18  grains. 

Ipecac,  -------  6 “ 

Camphor,  - - - - - - 12  “ 

Mix,  and  divide  into  twelve  pills.  Dose,  one  pill  every  three  or 
four  hours  : Or  this  : 

Camphor,  - - - - - - 18  grains. 

Ipecac,  -------  6 “ 

Opium,  - - - - - - 3 to  6 u 

Mix,  and  divide  into  twelve  pills.  Dose,  one  pil]  every  three  or 
four  hours. 

20 


306 


OUR  FAMILY  PHYSICIAN. 


For  chronic  dysentery,  give  the  following  : 

Syrup  of  Orange  Peel,  - 

Acetate  of  Morphia,  .... 

Tincture  of  Cinnamon,  - 

Tincture  of  Cardamon, 


1 ounce. 

2 grains. 

6 drachms. 
2 “ 


Mix.  Dose,  a teaspoonful  two  or  three  times  a day. 

For  cases  of  chronic  dysentery  of  long  standing,  the  following 
injection  will  be  found  useful  : 

Sulphate  of  Zinc,  - - - - - 10  grains 

Laudanum, 40  drops. 

Flax  Seed  Tea, 4 ounces. 


An  infusion  of  Golden  Seal,  or  the  tincture  of  Prickly  Ash 
Berries,  will  be  found  good  to  use  as  injections. 


ECLECTIC  AND  HERBAL. 

In  mild  cases,  the  pulverized  burned  Rhubarb  recommended  under 
diarrhoea,  will  be  found  good  , given  inTtoses  of  half  a teaspoonful 
three  or  four  times  a day.  Burned  Brandy  will  sometimes  readily 
relieve.  A teaspoonful  of  Castor  GJ.il,  and  one  and  a half  teaspoon- 
fuls of  Paregoric  mixed  and  taken  once  a day,  will  sometimes  be 
all  that  is  necessary.  If  there  is  severe  pain  in  the  bowels,  hot 
fomentations  of  hops,  or  hops  and  Stramonium  Leaves  may  be 
placed  over  the  painful  part.  When  the  discharges  are  frequent 
and  painful,  use  an>  injection  of  three  parts  of  starch  water,  and 
one  part  pf  the  Compound  Tincture  of  Virginia  Snake  Root  ; 
about  half  an  ounce’  should  be  injected,  and  repeated  after  every 
evacuation  ; the  patient  retaining  it  as  long  as  possible.  If  the 
tincture  cannot  be  obtained,  use  from  ten  to  twenty  diops  of 
Laudanum.  The  following  is  recommended  : 


Turkey  Rhubarb,  bruised,  1 ounce. 

Wild  Cherry  Bark, 2 ounces 

Super-Carbonate  of  Soda,  1 ounce. 

Cinnamon  Bark,  - - * - I “ 

White  Sugar, £ pound. 


Let  the  whole  remain  for  an  hour  in  a pint  and  a half  ol  boiling 
water,  then  strain  and  squeeze.  Dose,  a tablespoonful  or  ess,  ac 
cording  to  age,  every  half  hour,  hour,  or  two  hours,  according  lc 
the  symptoms. 

The  following  will  sometimes  be  found  excellent  in  sorm  t^sea 

Ripe  Blackberries,  ....  2 quarts 

Loaf  Sugar,  ------  1 pint. 

Cayenne,  £ ounce 


GENERAL  DISEASES. 


307 


Cinnamon, 

. 

- 

. 

- -A-  ounce. 

Cloves,  - 
Allspice,  - 

- 

- 

- 

■ i “ 

. 

- 

- 

■ i “ 

Boil  all  together  for  a short  time  ; when  cold  strain  and  add  a 
pint  of  fourth  proof  brandy.  Dose,  from  a tablespoonful  to  a wine- 
glass full,  according  to  the  age  of  the  patient.  It  is  sometimes 
well  to  produce  perspiration  by  covering  the  patient  warmly  in  bed 
and  giving  warm  drinks  of  Flax  Seed,  Balm,  Sage,  or  Catnip  tea. 
If  the  above  means  do  not  produce  perspiration,  give  two  grains  of 
Ipecac  every  three  hours. 

The  following  is  said  to  cure  recent  attacks  of  dysentery  : 

Leptandrin,  - - - - - - 10  grains. 

Morphia,  1 grain. 

Mix,  and  make  into  three  pills  with  the  Mucilage  of  Gum  Arabic, 
and  give  one  pill  every  six  or  twelve  hours,  according  to  the 
symptoms. 

The  following  is  good  as  an  injection,  which  may  be  used  after 
the  disease  has  continued  several  days. 

Infusion  of  Golden  Seal,  ...  i ounce. 

Laudanum, 10  to  20  drops. 

Use  at  one  injection. 

The  following  is  recommended  to  be  given  internally  : 

Guaiacum  (finely  powdered,)  5 drachms. 

Mucilage  oi  Gum  Arabic,  - - - - 3 ounces. 

Simple  Syrup, 3 “ 

Water, 8 u 

Mix.  Dose,  half  a wineglassful  every  four  hours. 

For  chronic  dysentery,  use  the  following  : 

Rhubarb,  ......  4 ounces. 

Black  Cohosh  Root,  - * - - * 2 “ 

Wild  Cherry  Bark,  2 “ 

Geranium,  - - - - - - - 2 “ 

Mix,  and  pour  on  the  articles,  two  pints  of  Brandy  and  two  pints 
of*  water.  Let  the  mixture  stand  five  or  six  days,  frequently 
stirring,  and  then  strain.  Add  four  pints  of  water  to  the  dregs, 
boil  down  to  two  pints,  strain,  and  add  to  the  strained  liquor 
previous  tincture,  and  sweeten  with  loaf  sugar.  Dose,  % ' > 

spoonful  every  one,  two,  or  three  hours. 


308 


OUR  FAMILY  PHYSICIAN. 


Cholera  Morbus. 

This  is  a disease  common  to  warm  climates,  and  is  characterized 
by  vomiting,  purging,  violent  gripings,  coldness  and  cramps  of  the 
extremities; 

Symptoms . — The  attack  generally  comes  on  suddenly  with  vom- 
iting and  purging  accompanied  by  severe  griping  pains  in  the  bow- 
els, and  stomach,  followed  by  great  anxiety.  The  discharges  from 
the  bowels  consist  of  feces,  afterward  of  watery,  bilious  matter  ; 
each  evacuation  is  preceded  and  accompanied  with  violent  griping 
and  cutting  colicky  pains,  especially  about  the  navel  ; during  the 
intervals  between  the  evacuations,  there  is  nausea  and  uneasiness 
at  the  stomach  ; generally  there  is  great  thirst,  and  fluid  is  vomited 
as  soon  as  swallowed  ; if  the  disease  is  allowed  to  progress,  the 
spasms  extend  to  the  arms  and  hands,  the  extremities  become  cold, 
the  pulse  sinks,  countenance  is  pale,  eyes  sunken,  cold  clammy 
sweat  breaks  out,  and  death  occurs. 

Causes . — Heat  of  summer,  especially  when  the  days  are  hot, 
and  evenings  cool,  sudden  changes  in  the  atmosphere,  improper  sub- 
stances taken  into  the  stomach,  as  unripe  fruits,  acids,  lobsters, 
melons,  cucumbers  ; fits  of  anger. 

TREATMENT. ALLOPATHIC. 

Apply  a large  mustard  poultice  over  the  stomach  and  liver,  and 
at  the  same  time  use  the  following  mixture  : 

Ammonia,  ......  1 drachm. 

Magnesia,  - - - • - - 1 “ 

Peppermint  Water,  4 ounces. 

When  the  diarrhoea  is  copious,  or  the  case  has  progressed  for 
some  time,  add  to  the  above,  two  drachms  of  Paregoric.  Dose,  a 
teaspoonful  every  twenty  minutes  ; to  be  well  shaken  when  taken. 

Flannels  wrung  out  of  a hot  decoction  of  Poppies  and  Chamo- 
mile Flowers,  and  laid  over  the  stomach  and  bowels  will  be  found 
useful  in  some  cases. 

The  compound  powder  of  Rhubarb  and  Potassa  may  be  given  in 
doses  of  a teaspoonful  every  half  hour,  until  the  vomiting  and  nau- 
sea are  checked,  and  if  necessary  add  to  each  dose  from  five  to  ten 
drops  of  Laudanum.  The  patient  should  be  allowed  to  drink  freely 
of  warm  water  and  flaxseed  tea  which  will  thoroughly  wash  out 


GENERAL  DISEASES. 


809 


the  stomach  and  bowels.  A spice  poultice  may  be  found  useful  in 
some  cases,  applied  over  the  stomach,  composed  of  a teaspoonful  each 
of  Cloves  and  Cinnamon,  and  a tablespoonful  of  flour  moistened  with 
brandy. 

Seabury  & Johnson’s  ready  made  mustard  plasters,  applied  over 
the  stomach,  will  afford  speedy  relief  for  the  cramps.  These  plas- 
ters are  put  up  in  neat  packages  of  three,  six  or  ten  in  a box,  and 
can  be  had  at  any  drug  store.  They  are  ready  for  use  by  simply 
dipping  them  in  water;  and  being  especially  prepared,  their  action 
is  much  more  sure  and  effective  than  the  home-made  aritcle. 

Burnett’s  Essence  of  Jamaica  Ginger  may  be  used  with  good  ef- 
fect. It  is  a valuable  remedy  for  this  class  of  diseases,  stimulating 
the  stomach  gently,  and  warming  and  soothing  the  whole  system. 
Give,  to  an  adult,  one  teaspoonful  in  a wineglass  of  sweetened  water; 
to  a child  under  twelve  years,  half  a teaspoonful.  It  is  one  of  the 
invaluable  household  remedies,  and  should  be  kept  on  hand  always. 

ECLECTIC  AND  HERBAL. 

A good  preparation  to  settle  the  stomach,  as  well  as  to  stop  the 
purging,  is  as  follows  : 

Ground  Black  Pepper,  1 tablespoonful 

Table  Salt,  -------1  “ 

Warm  Water,  ------  £ tumblerful. 

Cider  Vinegar,  -----  “ 

Bose,  a tablespoonful  every  few  minutes.  Stir,  and  mix  each 
time  until  the  whole  is  taken. 

Warm  teas  of  Catnip  or  Boneset  may  sometimes  be  used  to  pro- 
duce vomiting  ; after  the  vomiting  has  continued  for  a time,  apply  a 
large  mustard  poultice  over  the  stomach  and  bowels  ; and  give  the 
compound  syrup  of  llhubarb  and  Potassa  in  doses  of  a tablespoonful 
every  half  hour. 

The  feet  and  legs  should  be  bathed  in  warm  ^aleratus  water,  and 
it  is  also  a good  plan  to  apply  a warm  fomentation  of  hops  and  vin- 
egar to  the  bowels.  After  the  urgent  symptoms  have  been  overcome, 
a strong  decoction  of  burnt  corn  may  be  used  with  benefit.  - Black- 
berry root  made  into  a strong  decoction  with  Cloves  and  Cinnamon 
is  also  good.  The  dose  is  half  a teacupful  two  or  three  times  a day. 

HOMEOPATHIC. 

Ipecac . — Especially  when  the  vomiting  is  violent.  May  be  given 
at  the  commencement  of  the  attack  in  alternation  with  Veratrum. 
If  there  is  severe  pain  in  the  bowels,  frequent  and  small  evacuations, 
with  severe  pressing  down  pain,  give  Nux  Vomica  in  alternation 
with  Ipecac. 


S10 


OUR  FAMILY  PHYSICIAN. 


Arsenicum.  — Violent  diarrhoea  of  watery,  bilious,  slimy,  green- 
ish, or  blackish  substance  ; great  prostration  ; cold  extremities  ; 
violent  thirst  ; tongue  and  lips  dry  and  cracked,  and  bluish  ; burn- 
ing sensation  at  the  pit  of  the  stomach.  May  be  given  in  alterna- 
tion with  Veratrum. 

Veratrum.  — For  the  same  symptoms  as  Arsenic,  together  with 
cramps  in  the  calves  of  the  legs  ; pale  countenance,  very  great 
prostration,  shrivelled  appearance  of  the  skin. 

Gobcynth.  — Violent  colic,  as  if  the  bowels  were  jammed  be- 
tween two  stones  ; vomiting  of  green  substance  ; cramp-like  pain  ; 
constrictions  in  the  bowels  with  cutting  pains  as  from  a knife. 

Cuprum.  — When  there  are  severe  spasms  of  the  limbs  ; cramps 
in  the  fingers  and  toes. 

China.  — When  the  attack  is  caused  by  indigestion  ; also  for  the 
debility  after  a severe  attack. 

Administration  of  Remedies.  — Of  the  selected  remedy  dissolve 
twelve  globules  in  twelve  teaspoonfuls  of  water,  and  give  a tea- 
spoonful every  ten,  fifteen  or  thirty  minutes  according  to  the 
severity  of  the  attack.  After  having  given  several  doses,  and 
there  is  still  no  relief,  select  another  remedy.  The  intervals  be- 
tween the  doses  should  be  lengthened  as  the  patient  grows  easier. 
The  diet  may  consist  of  such  things  as  oatmeal  gruel.  Cold 
water  should  be  used  as  a drink.  The  patient  should  be  careful  to 
avoid  all  vegetables  and  other  articles  which  will  disagree  with  his 
stomach. 

Asiatic  Cholera. 

This  is  one  of  the  most  fearful  diseases  known. 

Symptoms.  — First  Stage  : The  first  stage  is  generally  preceded 
by  a derangement  of  the  digestive  organs,  rumbling  in  the  bowels, 
pain  in  the  head,  knees,  and  loins ; thirst,  and  slight  diarrhoea. 
These  symptoms  may  continue  for  several  hours,  or  a few  days. 
Sometimes,  however,  an  attack  occurs  without  any  of  the  above 
symptoms. 

Second  Stage  : This  stage  is  marked  by  more  or  less  constant 
vomiting  and  purging  of  a thin,  • colorless  fluid  resembling  rice 
water ; with  cramps  in  the  legs,  which  soon  attack  the  stomach, 
and  bowels  ; the  cramps  are  violent  and  painful,  drawing  the  mus- 
cles into  firm  knots,  with  twitching  of  the  muscles  over  the  body. 
As  this  stage  advances,  the  tongue  becomes  pale  and  moist,  the 


GENERAL  DISEASES. 


Sll 


pulse  feeble  ; the  breathing  hurried,  with  a distress  about  the  heart, 
and  a feeling  of  internal  warmth  ; countenance  expressive  of  much 
suffering,  great  thirst. 

Third  Stage,  or  Stage  of  Collapse  is  characterized  by  great  pros- 
tration ; the  pulse  becomes  barely  perceptible  ; the  skin  cold  and 
clammy  ; the  face  of  a deep  blue  or  purple  color  ; eyes  sunken  ; 
hands  and  feet  dark  colored,  resembling  the  hands  of  a washerwo- 
man, and  have  a doughey,  dead-like  feeling ; the  voice  is  weak, 
dry,  and  nearly  gone  ; breathing  short  and  laborious  ; the  patient 
cries  incessantly  for  air,  cold  water  or  ice,  or  else  lies  in  a stupor  ; 
the  feces  may  cease  altogether,  or  be  discharged  without  the 
knowledge  of  the  patient.  The  patient  may  continue  in  this  stage 
from  an  hour  or  two,  to  twenty-four  hours  ; but  a case  very  seldom 
recovers  after  having  reached  this  stage. 

Causes.  — The  cause  of  cholera  is  still  unknown  ; it  however 
depends  upon  the  peculiar  state  of  the  atmosphere,  but  what  that 
state  is,  is  not  yet  determined.  Crowded  towns  and  cities,  and 
habitations  in  low,  damp  places  are  more  liable  to  attacks.  Per- 
sons who  are  intemperate,  or  weakened  by  other  disease,  as  the 
unclean,  and  poorly  fed,  are  also  more  liable  to  attacks.  It  may  be 
caused  by  eating  improper  food  ; intoxicating  drinks  ; exposure  ; 
cold,  damp,  or  night  air  ; late  hours  at  night ; fear.  The  latter  is 
one  of  the  most  frequent  causes,  and  has  been  the  means  of  de- 
stroying thousands. 

TREATMENT. HOMEOPATHIC. 

When  the  symptoms  appear,  the  patient  should  immediately  go 
to  bed,  cover  up  well,  and  remain  perfectly  quiet.  Camphor  is  the 
most  important  remedy,  and  should  be  used  as  follows  : 

One  drop  of  the  tincture  of  Camphor,  on  a little  piece  of  sugar, 
every  two,  three  or  five  minutes ; also,  ev^ry  fifteen  or  twenty 
minutes,  some  brandy  and  water  if  he  can  retain  anything  on  the 
stomach.  As  soon  as  the  patient  begins  to  perspire  lengthen  the 
intervals  between  the  doses  and  allow  him  to  continue  in  this 
perspiration  eight  or  ten  hours.  If,  however,  the  disease  proceeds 
into  the  second  stage,  when  the  cramps  appear,  Veratrum  and 
Cuprum  should  be  given  alternately,  as  follows  : 

Dissolve  twelve  or  fifteen  globules  of  each  remedy  in  four  table- 


S12 


O0E  fAMIMf  PHYSICIAN, 


spoonfuls  of  water,  and  give  a teaspoonful  every  fifteen  minutes, 
lengthening  the  intervals  as  the  symptoms  grow  better. 

Arsenic.  — Should  be  given  when  there  is  violent  burning  in  the 
stomach  and  bowels,  worse  after  vomiting  with  cramp-like  pains  in 
the  abdomen  ; violent  thirst  ; difficult  breathing  ; hoarseness  of 
the  voice  ; pulse  weak  and  irregular  ; skin  cold  and  clammy  ; 
blueness  of  the  face  and  lips  ; vomiting  and  purging,  immediately 
after  eating  and  drinking  even  a small  amount.  Arsenicum  and 
Veratrum  may  be  given  in  alternation  with  benefit. 

Cuprum.  — This  remedy  should  be  given  when  there  is  vomiting, 
and  rice  water  discharges  ; skin  cold  and  livid  ; colic  ; eyes  sunken  ; 
skin  of  a withered  appearance  ; cramps  in  the  calves  of  the  legs  ; 
loss  of  voice  ; cold  clammy  sweats.  If  there  are  violent  stitches 
in  the  side,  producing  restlessness,  great  anguish  and  fear,  and  diffi- 
cult breathing,  give  Cuprum,  and  Hydrocyanic  acid  in  alternation  ; 
a dose  every  ten  or  fifteen  minutes,  a teaspoonful  at  a dose. 

If  the  disease  goes  on  to  the  third  stage,  or  stage  of  collapse,  give 
Carbo  Veg.,  a teaspoonful  of  the  solution  every  half  hour  or  hour. 
If  there  is  violent  burning  still  remaining  in  the  stomach,  give 
Arsenic  in  alternation  with  Carbo  Veg. 

Secale  Cornutum.  — Especially  for  old  persons,  when  there  is  rapid 
prostration  of  strength  ; violent  thirst  ; tongue  cold  and  dry  ; 
withered  appearance  of  the  skin. 

Administration  of  Remedies.  — Of  the  remedy  chosen,  dissolve 
twelve  or  fifteen  globules  in  six  teaspoonfuls  of  water,  and  give  a 
dose  every  five,  fifteen,  twenty  or  thirty  minutes,  according  to  the 
urgency  of  the  symptoms,  lengthening  the  intervals  as  the  symp- 
toms improve.  The  heat  of  the  body  should  be  kept  up  by  placing 
hot  bricks,  or  bottles  of  hot  water  about  the  patient.  Rubbing  the 
limbs  with  the  hand,  or  with  a piece  of  flannel  cloth,  will  restore 
the  warmth,  and  will  also  relieve  the  cramps  in  the  muscles. 
Small  quantities  of  ice,  or  ice  water  may  be  given  to  relieve  the 
intense  thirst.  Injections  of  cold  water  are  sometimes  beneficial 
in  relieving  the  colic  and  cramps  in  the  bowels. 

PREVENTIVES. 

As  a preventive  to  cholera  the  tincture  of  Camphor  may  be 
given  in  drop  doses  once  or  twice  in  twenty-four  hours. 

Dr.  Herring  of  Philadelphia,  recommends  Sulphur  as  a preven- 
tive ; putting  half  a teaspoonful  of  flowers  of  Sulphur  into  each 
stocking,  and  wearing  it  continually. 

ALLOPATHIC. 

In  the  first  stage,  give  from  five  to  ten  drops  of  Laudanum  every 
three  hours  until  it  stops  the  diarrhoea. 


GENERAL  DISEASED 


818 


Dr.  Henry  Hartshorn,  of  Philadelphia, recommends  the  following: 

Chloroform, £ drachm. 

Tinct.  of  Opium,  - - - - m i “ 

Spirits  of  Camphor,  $ u 

Aromatic  Spirits  of  Ammonia,  - - ‘ i “ 

Creosote.  ......  3 drops. 

Oil  of  Cinnamon,  - - - - - 8 u 

Spirits  of  Gallic  Wine,  - - - - 2 drachms. 


Mix.  Dissolve  a teaspoonful  of  this  in  a wineglass  of  ice  water, 
and  give  of  the  mixture  two  tablespoonfuls  every  five  minutes,  fol- 
lowed each  time  by  a lump  of  ice.  A tablespoonful  of  Brandy 
should  be  given  every  hour  or  two. 

In  the  second  stage,  the  following  may  be  used  to  sustain  the 
sinking  powers  : 

Camphor,  ......  2 drachms. 

Chloroform,  ......  1 drachm. 

The  Yolk  of  an  Egg. 

Mix,  and  rub  together,  and  then  add, 

Tinct.  of  Opium,  .....  1 ounce. 

Aromatic  Spirits  of  Ammonia,  - 1 “ 

Mix.  Dose,  one  teaspoonful  every  hour  until  the  patient 
improves. 

In  the  third  stage,  the  application  of  ice  in  bags  to  the  spine  is 
recommended  by  Prof.  Chapman  of  Philadelphia.  It  should  be 
persisted  in.  The  above  treatment  should  be  continued  for  this 
stage  with  more  rigor. 


ECLECTIC  AND  HERBAL. 


In  the  first  stage,  the  following  is  recommended  by  Dr.  John 
King  : 

Compound  Spirits  of  Rhubarb  and  Potassa,  4 ounces. 

Tinct.  of  Prickly  Ash  Berries,  - - 1 ounce. 

Essence  of  Peppermint,  - - 1 drachm. 

Elixir  of  Paregoric,  ....  4 drachms. 

Mix.  Dose,  a teaspoonful  every  half  hour,  until  it  operates  on 
the  bowels,  and  then  give  a tablespoonful  three  or  four  times  a day. 

The  following  is  also  recommended  when  the  above  does  not 
check  the  diarrhoea : 

Gum  Guaiacum,  ounce. 

Ground  Cloves.  • • - - - J u 

Ground  Cinnamon,  • - • • J “ 

Brandy,  1 pint. 


314 


Ora  FAMILY  PHYSICIAN. 


Mix.  Dose,  from  a teaspoonful  to  a tablespoonful  every  half 
hour  until  the  diarrhoea  is  arrested. 


In  the  second  stage,  the  following  may  be  given  to  allay  the  vom- 
iting : 

Camphor  Water,  .....  l ounce. 

Peppermint  Water,  - - - - 1 M 

Spearmint  Water,  1 u 

Elixir  of  Paregoric,  - - - - - 2 drachms. 


Mix.  Dose,  from  a teaspoonful  to  a tablespoonful  every  five,  ten 
or  fifteen  minutes.  If  this  does  not  check  the  vomiting,  give  the 
following  : 

Salt,  .......  1 drachm, 

Black  Pepper, 1 “ 

Vinegar,  ......  5 drachms. 

Hot  Water,  ......  4 ounces. 


Mix.  Dose,  a teaspoonful  every  five,  ten  or  fifteen  minutoi. 
To  check  the  discharges,  the  following  may  be  used  : 

Camphor,  ......  1 grain. 

Kino,  .......  1 « 

Tannic  Acid,  .....  l « 

Opium, i “ 


Give  at  one  dose,  and  repeat  every  half  hour,  lengthening  the 
intervals  between  the  doses,  as  the  patient  grows  better.  If  the 
discharges  are  frequent,  the  medicine  should  be  administered  after 
each  evacuation. 

To  remove  the  cramps,  the  limbs  should  be  rubbed  briskly  with 
the  hands,  and  warm  flannel.  The  tincture  of  Capsicum  may  be 
rubbed  along  the  spine,  after  which  a mustard  poultice  should  be 
applied. 

In  the  third  stage,  the  patient  may  be  wrapped  in  blankets  wet 
with  hot  water,  at  the  same  time  giving  a mixture  of  one  part  of 
tincture  of  Camphor,  and  three  parts  of  Prickly  Ash  berries. 

Dose,  a teaspoonful  to  a tablespoonful,  every  ten  or  twenty 
minutes,  in  water.  Doses  of  Brandy  may  be  given  with  good 
effect. 

The  following  is  the  celebrated  treatment  of  Rev.  Dr.  Hamlin, 
a missionary  to  Turkey. 

Take  equal  parts  of  Laudanum,  Spirits  of  Camphor  and  Tincture 
of  Rhubarb.  Mix,  and  give  thirty  drops  on  a lump  of  sugar  ; this 
will  generally  check  the  diarrhoea-.  But  to  prevent  its  return,  the 
medicine  should  be  continued  every  four  hours,  in  doses  of  from  ten 
to  twenty-five  drops.  In  case  the  first  dose  of  thirty  drops  does 
not  stop  the  diarrhoea,  increase  the  dose  to  forty,  forty-five,  or  sixty 


GENERAL  DISEASES, 


S16 


drops,  at  every  movement  of  the  bowels.  As  soon  as  the  diarrhoea 
is  checked,  however,  the  doses  should  be  decreased.  If  the 
diarrhoea  advances,  an  injection,  composed  of  a teaspoonful  of 
boiled  starch,  with  a teaspoonful  of  Laudanum,  should  be  used. 
Give  one- third  at  each  movement  of  the  bowels. 

He  uses  at  the  same  time  prepared  chalk  in  doses  of  ten  grains, 
with  a few  drops  of  Laudanum  and  Camphor  to  each  dose.  Mus- 
tard poultices  should  be  applied  to  the  pit  of  the  stomach.  When 
the  vomiting  and  purging  are  severe,  and  there  are  cramps  and 
colicky  pains,  equal  parts  of  Laudanum,  Tincture  of  Capsicum, 
Tincture  of  Ginger  and  Tincture  of  Cardamon  Seeds  maybe  used. 
The  dose  is  from  thirty  to  forty  drops,  or  half  a teaspoonful  in  a 
little  water,  and  increased  according  to  the  urgency  of  the  case. 
If  the  first  dose  is  vomited,  the  second  should  be  given  immediately 
after  the  vomiting  has  ceased. 

In  the  stage  of  collapse,  in  addition  to  the  second  mixture, 
brandy  should  be  given  in  doses  of  a tablespoonful  every  half  hour, 
and  bottles  of  hot  water  placed  around  the  patient,  and  friction 
applied  to  the  limbs  and  body. 

Piles,  ( Hemorrhoids .) 

This  is  a very  common  affection,  and  consists  in  a fullness  of 
blood  and  languid  circulation,  in  the  lower  part  of  the  rectum. 
When  they  appear  externally,  they  are  called  external  piles.  At 
other  times  they  are  within  the  bowels,  and  are  then  called  internal 
piles  ; bleeding  piles  when  blood  is  discharged,  and  blind  piles  when 
there  is  no  discharge. 

Symptoms.  — The  attack  is  generally  preceded  by  a sense  of 
weight,  in  the  lower  part  of  the  abdomen,  with  a painful  itching 
about  the  anus,  or  opening.  On  going  to  stool,  a severe  stinging  or 
burning  pain  is  experienced  ; and  there  is  generally  more  or  less 
straining  or  bearing  down.  When  blood  is  discharged,  the  pain  and 
uneasiness  are  not  so  great  as  they  are  when  there  is  no  discharge. 

Causes.  — Everything  which  will  irritate  the  lower  bowel,  causing 
a determination  of  blood  to  the  part  ; long  continued  constipation  ; 
straining  at  .stool  ; riding  on  horseback  ; high  living ; highly  sea- 
soned food ; tight  lacing ; sitting  a great  deal  ; females  during 
pregnancy  are  liable  to  them  on  account  of  the  pressure  of  the 
womb  upon  the  veins  of  the  pelvis. 


818 


©'em  FAMILY  WtSICIAH. 


TREATMENT.  — ALLOPATHIC. 

It  is  necessary  that  the  bowels  should  be  kept  well  open,  and  for 
this  purpose  the  following  may  be  used  : 

Confection  of  Senna,  - - - - 2 ounces. 

Cream  of  Tartar,  - 1 ounce. 

Sulphur,  - 1 “ 

Syrup  of  Ginger  enough  to  make  a stiff  paste. 

Mix.  Do?e,  a piece  the  size  of  a nutmeg  taken  sufficiently  often 
to  procure  one  natural  motion  of  the  bowels  each  day.  The  applica- 
tion  of  lard,  tallow,  or  cold  cream  to  the  piles  will  sometimes  allay 
the  irritation. 

Dr.  Trask’s  Magnetic  Ointment,  prepared  by  D.  Ransom,  Son  & 
Co.,  of  Buffalo,  N.  Y.,  has  been  used  for  many  years  with  the  great- 
est success  in  treating  this  disease.  It  can  be  procured  at  any  drug 
store,  and  a thorough  and  persistent  application  of  it  will  in  most 
cases  effect  a permanent  cure.  It  is  a purely  vegetable  compound, 
and  is  very  effective  in  all  inflammatory  affections,  such  as  burns, 
sore  throat,  inflammation  of  the  bowels,  or  lungs,  or,  in  fact,  when- 
ever external  application  can  be  made 

Washing  with  cold  water,  or  a cool  sitting  bath  may  sometimes 
relieve. 

When  the  bleeding  is  considerable,  injections  of  cold  water  or  a 
weak  solution  of  Alum  may  be  used.  An  ointment  composed  of 

Lard,  2 ounces. 

Sulphur, 1 drachm. 

Mixed,  and  rubbed  between  two  plates  of  lead  until  it  is  well  black- 
ened, is  recommended  to  be  applied,  in  either  bleeding  or  blind  piles. 
If  there  is  much  inflammation,  a poultice  composed  of  Sulphur,  Slip- 
pery Elm  Bark,  and  Stramonium  leaves  may  be  used. 

The  food  should  be  plain,  such  as  corn  bread,  ripe  fruit,  bread  of 
unbolted  wheat  flour,  broths,  etc. 

ECLECTIC  AND  HERBAL. 

Cream  of  Tartar  in  doses  of  a teaspoonful  taken  in  molasses  or 
syrup,  is  an  excellent  remedy.  Equal  parts  of  flowers  of  Sulphur 
and  Cream  of  Tartar,  given  in  doses  of  a teaspoonful  once  a day 
in  molasses,  is  effectual  in  some  cases.  The  patient  should  at  the 
same  time  drink  a tea  made  of  equal  parts  of  Elder  and  Mullen. 
In  blind  piles,  when  there  is  considerable  inflammation,  a poultice 
of  Poke  leaves  is  recommended  as  being  very  efficacious  ; or  equal 


GENEEAL  DISEASES. 


317 


parts  of  Elm  Bark  and  Lobelia  leaves.  Sometimes  steaming  the 
parts  by  sitting  over  a hot  decoction  of  bitter  herbs,  such  as  Tansy, 
Hops,  Poke  leaves,  will  be  very  beneficial.  The  following  may  be 
used  in  some  cases  with  good  effect : 

Take  half  a dozen  of  buckeyes,  or  horse  chestnuts  when  fresh, 
remove  the  shells,  slice  them  up  finely,  put  them  in  a tin  cup  with 
a sufficient  quantity  of  lard  to  cover  them,  and  let  them  stand  near 
the  fire  for  an  hour.  Then  strain  and  press  out  the  lard.  When 
cool,  it  is  fit  for  use.  Apply  a portion  of  the  ointment  to  the  tu- 
mors twice  a day.  Fresh  butter,  salt,  and  spirits  of  Turpentine, 
in  the  proportion  of  one  tablespoonlul  of  the  former,  to  two  teaspoon - 
fuls  of  the  latter,  mixed  together  and  applied  to  the  piles,  either 
within  or  outside  the  rectum,  several  times  a day,  is  an  excellent 
remedy. 

An  ointment  used  by  Dr.  Bodenhammer  is  made  by  simmering 
bruised  leaves  of  the  Stramonium,  or  Jamestown  weed,  in  fresh  but- 
ter, or  hog’s  lard,  and  adding  to  it  a little  Laudanum.  This  should 
be  applied  to  the  affected  parts  frequently. 

HOMEOPATHIC. 

The  principal  remedy  is  Nux  Vomica,  which  is  suitable  for  all  va- 
rieties of  this  complaint.  This  may  be  given  in  alternation  with 
Sulphur,  especially  for  chronic  cases.  A dose  may  be  taken  of  Nux 
at  night,  and  Sulphur  in  the  morning.  If  these  remedies  do  not 
relieve,  give  Ignatia,  Sepia,  Belladonna,  Colocynth,  Carbo  Veg., 
Hepar  Sulph.  Each  remedy  may  be  taken  for  several  days  before 
changing  to  another,  if  the  remedy  selected  produces  no  effect. 

Pond’s  Extract  has  been  used  with  great  success  in  treating  this 
complaint.  Take  a teaspoonful  of  the  Extract  every  three  or  four 
hours.  At  the  same  time  use  the  remedy  externally,  bathing  the 
parts  freely  with  it. 

The  application  of  water  is  of  great  benefit.  The  patient  should 
make  frequent  use  of  a sitting  bath,  and  injections  of  cold  water. 

Falling  op  the  Bowel  ( Prolapsus  Ani). 

Falling  of  the  bowel  is  a complaint  in  which  the  rectum  protrudes 
from  the  external  opening.  It  is  found  more  frequently  in  children 
and  old  people. 

Causes. — Straining  at  stool,  violent  coughing,  the  use  of  violent 
purgatives,  worms,  piles,  diarrhoea,  etc. 


318 


OUR  FAMILY  PHYSICIAN. 


GENERAL  TREATMENT. 

When  the  complaint  occurs  in  an  infant,  the  patient  should  be 
placed  on  his  back  with  the  hips  elevated  ; and  the  nurse  or  attend- 
ant having  oiled  the  fingers  should  carefully  and  gradually  push 
up  the  bowel.  If  necessary,  place  upon  the  anus  a compress  made 
of  several  folds  of  muslin,  and  hold  it  there  by  means  of  a T 
bandage,  which  is  made  by  passing  a bandage  around  the  body 
above  the  hips,  attach  another  to  it  in  front,  passing  it  down 
between  the  legs,  and  attaching  to  the  bellyband  behind. 

ECLECTIC  AND  HERBAL. 

A strong  decoction  of  Oak  Bark  or  a decoction  of  equal  parts  of 
Solomon’s  Seal  and  Golden  Seal,  may  be  injected  and  retained  as 
long  as  possible.  Any  good  pile  ointment  to  which  has  been  added 
a drachm  of  Tannin,  may  be  used  with  benefit.  The  following 
injection  is  recommended  in  some  cases  : 

Tincture  of  Prickly  Ash  Berries,  - - 4 ounces. 

Tincture  of  Nux  Vomica,  - - - - 3 drachms. 

Inject  one  teaspoonful  into  the  rectum  and  retain  as  long  ^ 
possible.  Repeat  three  or  four  times  a day. 

HOMEOPATHIC. 

Ignatia.  — Is  the  principal  remedy.  It  may  be  given  once  every 
twenty-four  hours  for  a week  or  more  ; then  discontinue  for  a few 
days  and  give  a dose  of  Sulphur  every  other  evening  for  a week. 

Nux  Vomica.  — May  be  used  when  there  is  considerable  pain 
and  straining,  especially  in  young  children. 

Mercury  is  suitable  in  some  cases  especially  when  the  protruding 
intestine  is  swollen  or  bluish  and  bleeds  when  at  stool. 

Calcarea  is  especially  good  for  obstinate  chronic  cases  where 
other  remedies  have  failed.  Frequent  washing  with  cold  water 
will  be  found  useful.  The  above  remedies  are  to  be  given  in  the 
same  manner  as  Ignatia. 

ALLOPATHIC. 

The  following  may  be  used  as  a wash  to  the  part : 

White  Oak  bark,  .....  1 ounce. 

Water,  1 pint. 

Boil  away  one  quarter,  strain,  and  add  Alum,  one  scruple,  and 
apply  with  a soft  sponge. 

Ripe  fruit  stewed  in  molasses,  or  hasty  pudding  and  molasses, 
may  be  used  as  a diet ; it  has  a relaxing  effect  on  the  bowels. 


GENERAL  DISEASES. 


319 


Rupture,  ( Hernia .) 

Rupture  means  a protruding  of  the  bowel  from  the  wall  of  the 
belly  ; it  is  also  called  a breech,  or  burst.  It  is  a very  common 
accident  among  laboring  persons,  caused  by  severe  lifting,  straining 
or  even  riding,  or  by  anything  which  weakens  the  walls  of  the 
abdomen. 

Hernia  is  divided  into  different  varieties  according  to  the  part  of 
the  body  where  it  occurs. 

Umbilical  Hernia,  is  the  protrusion  of  the  bowel  at  the  navel,  or 
umbilicus.  This  is  more  common  in  children  soon  after  birth. 

Inguinal  Hernia,  is  where  the  bowel  protrudes  at  the  groin. 

Scrotal  Hernia,  when  the  bowel  descends  into  the  bag  or 
scrotum. 

Ventral  Hernia,  when  the  rupture  occurs  at  any  part  of  the 
body,  where  other  forms  do  not  occur. 

Femoral  Hernia,  when  the  rupture  is  situated  in  the  upper  fore 
part  of  the  thigh. 

The  rupture  may  be  reducible,  irreducible,  or  strangulated.  It 
is  reducible  when  it  can  be  put  back  into  the  cavity  from  whence  it 
comes.  Irreducible,  when  the  bowel  can  not  be  returned  into  the 
belly.  Strangulated,  when  the  bowel  is  so  pressed  upon  at  the 
point  where  it  passes  from  the  abdomen,  that  the  contents  of  the 
bowel  can  not  pass  through. 

Symptoms . — A swelling,  or  soft  tumor  appears  somewhere  about 
the  belly,  and  is  increased  in  size  when  the  patient  stands  up, 
and  when  he  lies  down  the  tumor  recedes. 

TREATMENT. 

When  a person  discovers  a swelling  in  either  of  the  parts  men- 
tioned, he  should  apply  at  once  to  a surgeon.  A truss  should  be 
constantly  worn,  and  should  be  of  a kind  that  fits  well,  and  be 
worn  night  and  day  ; the  patient,  on  no  account  should  leave  it 
off,  especially  when  standing  up.  By  persevering  in  the  wearing 
of  a truss  for  months,  a cure  may  be  finally  effected,  especially  if 
the  patient  is  young.  The  person  affected  should  be  careful,  and 


320 


OUR  FAMILY  PHYSICIAN. 


not  become  costive  ; he  should  attend  regularly  to  the  calls  of 
nature. 

For  rupture  at  the  navel  occurring  in  infants,  an  expedient 
used  by  Dr.  H.  R.  Stout,  of  Chicago,  will  be  found  an  effective 
means  of  cure. 

Place  over  the  rupture,  after  the  bowel  has  been  returned,  a 
coin,  sufficiently  large  to  cover  the  rupture,  and  draw  over  the 
coin  from  each  side,  a fold  of  the  skin  and  unite  these  folds  by 
strips  of  adhesive  plaster.  It  is  impossible  for  the  infant  to  work 
off  the  pad,  and  consequently  a cure  is  much  more  rapid  and 
effectual.  It  should  be  worn  untii  the  cure  is  complete. 

"When  the  hernia  becomes  strangulated,  the  patient  should  be 
placed  in  a warm  bath,  and  efforts  made  to  reduce  it.  But  such 
cases  should  be  managed  only  by  a competent  physician. 

Persons  wearing  a truss  should  have  two  of  the  same  kind,  so 
that  when  one  gets  out  of  order  the  other  may  be  worn  while  it  is 
being  repaired,  for  if  the  patient  leaves  off  the  truss  for  even  an 
hour,  it  may  occasion  an  injury  which  it  will  take  months  or  years 
to  repair. 


Dropsy  of  the  Abdomen,  {Ascites.) 

This  is  a collection  of  water  in  the  cavity  of  the  belly. 

Symptoms . — There  is  an  enlargement  of  the  belly,  with  a sense 
of  distention  and  weight,  attended  with  loss  of  appetite,  oppression 
at  the  chest,  constipation.  When  the  collection  of  water  is  large, 
the  breathing  becomes  difficult  and  short.  The  fluid  may  be  de 
tected  by  placing  the  hand  upon  one  side  of  the  abdomen,  and 
striking  the  other  side,  when  the  water  may  be  felt  to  flow  against 
the  hand  which  is  at  rest. 

Causes . — Ascites  may  be  produced  by  diseases  of  the  liver  or 
spleen  ; diseases  of  the  heart ; and  also  chronic  inflammation  of  the 
membrane  which  lines  the  abdomen,  or  peritoneum. 

TREATMENT. HOMEOPATHIC. 

Apis  Mellifica  has  performed  wonderful  cures,  and  is  valuable* 
when  the  following  symptoms  are  present : a sense  of  fullness,  or 
suffocation  in  the  chest ; difficult  breathing  ; pain  and  tenderness 
of  the  abdomen. 

Arsenic.  — Countenance  pale  and  waxen  ; cheeks,  lips,  and  eyelids 
bluish  and  puffy  ; mouth  and  tongue  dry  ; urine  scanty,  dark,  and 
turbid,  or  slimy  ; great  prostration  ; fainting  ; palpitation  of  the 


GENERAL  DISEASES. 


321 


heart ; difficult  breathing  ; loss  of  appetite ; heaviness  and  stiffness 
of  the  limbs  and  body. 

Digitalis.  — Especially  when  the  dropsy  is  caused  by  disease  of 
the  heart ; also  when  there  is  paleness  of  the  face  ; swelling  of  the 
eyelids  ; irregularity  of  the  bowels  ; sharp  stitches  in  the  region  of 
the  heart. 

Ajoocynum.  — This  is  an  exceedingly  valuable  remedy  in  all 
forms  of  dropsy. 

Other  remedies  are  Asparagus,  Cantharides,  Mercurius,  Cannabis 
Indica,  China. 

Administration  of  Remedies.  — Give  a dose  of  the  selected  remedy 
every  three  or  four  hours,  in  urgent  cases  ; but  in  chronic  cases, 
once  or  twice  a day.  If  the  globules  are  used,  give  six  at  one  dose. 
If  the  solution  is  used,  dissolve  twelve  globules  in  twelve  tea- 
spoonfuls of  water,  and  give  a teaspoonful  for  a dose. 

ALLOPATHIC. 

The  following  may  be  used  with  great  advantage  : 

Infusion  of  Digitalis,  ....  4 ounces. 

Acetate  of  Potash,  - - - - -2  drachms 

Sweet  Spirits  of  Nitre,  - - - - 2 u 

Cinnamon  water,  - - - - l-£  ounces. 

Mix.  Dose,  a tablespoonful  every  four  or  five  hours. 

As  a drink,  the  patient  may  use  an  infusion  made  from  two  parts 
of  Haircap  Moss,  and  one  part  each  of  Juniper  berries,  and  dwarf 
Elder  bark. 

The  following  is  highly  recommended: 

Pulverized  Gamboge,  - - - - 12  grains. 

Pulverized  Scammony,  - - - 12  “ 

Elaterium,  ......  2 u 

Croton  Oil,  ------  8 drops. 

Extract  of  Stramonium,  ...  3 grains. 

Mix,  and  make  into  twelve  pills.  Dose,  one  pill  every  hour 
until  it  operates. 

Nitrate  of  Potash  is  recommended  to  be  taken  in  doses  of  one 
drachm  in  an  infusion  of  scraped  horseradish,  Juniper  berries,  and 
mustard  seed,  bruised,  each  half  an  ounce,  in  a pint  and  a half  of 
boiling  water.  The  mixture  should  stand  for  two  hours  and  then 
strain.  One  fourth  part  taken  for  a dose. 

Rubbing  the  abdomen  with  the  ointment  of  Iodide  of  Potassium 
is  recommended,  taking  the  following  mixture  during  the  day  : 

21 


322 


OUR  FAMILY  PHYSICIAN. 


Sesqui-carbonate  of  Ammonia,  ^ drachm. 

Sweet  Spirits  of  Nitre,  - - - - - \ ounce. 

Tincture  of  Digitalis,  ^ drachm. 

Camphor  mixture  sufficient  to  make  six  ounces. 

Mix  Dose,  two  tahlcspoonfuls  twice  a day. 

Cream  of  Tartar  taken  in  large  doses  every  day,  will  sometimes 
be  beneficial. 

ECLECTIC  AND  HERBAL. 

Dandelion  tea  is  highly  recommended  in  this  complaint.  It  may 
be  made  as  follows  : 

Slice  a quantity  of  the  root,  pour  boiling  water  upon  it,  and  allow 
it  to  draw  for  an  hour  or  two  on  the  fire.  Take  two  or  three  cupfuls 
during  the  day. 

An  infusion  of  parsley  may  be  sometimes  used  with  good  effect. 

It  is  well  to  rub  and  knead  the  bowels  with  the  hand  two  or  three 
times  a day,  and  if  there  is  any  tenderness  remaining  after  the  rub- 
bing, use  the  following  ointment,  previous  to  the  operation  : 

Oil  of  Juniper,  Oil  of  Sassafras,  Oil  of  Cajeput,  Oil  of  Spear- 
mint, each  half  and  ounce.  Mix. 

Dr.  Gunn  recommends  the  bark  of  the  common  grape  vine.  It 
should  be  burned  to  ashes,  and  the  dose  is  from  a teaspoonful,  to 
half  a tablespoonful  in  a wineglass  of  Catawba  wine,  three  times  a 
day.  The  bowels  should  be  kept  open  by  Salts,  compound  powder 
of  Jalap,  or  some  other  mild  purgative. 

Nervous  and  General  Debility. 

Nervous  or  general  debility  may  result  from  various  causes,  such 
as  indigestion,  over-work,  anxiety,  imperfect  convalescence  from 
some  malignant  disease — in  lact,  from  anything  which  poisons  or 
impoverishes  the  blood  or  lowers  the  tone  of  the  nervous  system. 
The  patient  is  restless,  irresolute,  feverish,  weak ; has  little  appetite, 
and  is  generally  low-spirited  and  discouraged.  The  whole  system 
becomes  deranged,  especially  the  organs  of  nutrition,  the  stomach, 
kidneys  and  liver.  In  such  cases  the  chief  thing  needed  is  a mild 
tonic,  that  will  stimulate  and  strengthen  the  debilitated  organs. 
Many  physicians  recommend  Parker* s Tonic  as  more  nearly  meeting 
all  the  requirements  than  anything  they  have  been  able  to  find.  It 
infuses  energy  into  every  part  of  the  body,  brings  refreshing  sleep 
and  appetite  for  food  and  gently  stimulates  both  brain  and  body,  and 
it  does  not  intoxicate.  For  persons  worn  out  by  over-work  or  suffer- 
ing from  irregularity  of  the  bowels  or  urinary  organs,  it  is  an  excel- 
lent remedy 


GENERAL  DISEASES. 


323 


CHAPTER  XIII. 

Affections  of  the  Urinary  and  Genital  Organs. 

Inflammation  of  the  Kidneys,  (Nephrttis.) 

THIS  is  an  inflammation  either  of  the  substance  of  the  kidneys 
or  its  lining  membrane,  and  is  generally  associated  with  dis- 
eases of  the  bladder,  or  other  urinary  organs. 

Symptoms . — The  disease  is  generally  preceded  by  the  usual 
symptoms  of  fever,  as  chills,  especially  in  the  back  and  loins,  fol- 
]owed  by  fever.  These  are  followed  by  a deep-seated  pain  in  the 
loins  extending  to  the  bladder,  which  is  aggravated  by  pressure, 
and  by  moving  about ; there  is  generally  nausea  and  sometimes 
vomiting,  also  a numbness  of  the  thigh  of  the  affected  side,  and 
the  pain  shoots  downward  to  the  groin  ; there  is  frequently  a draw- 
ing up  of  the  testicle  of  the  side  affected  ; the  urine  is  scanty,  high 
colored,  and  often  bloody,  early  in  the  disease,  and  can  be  passed 
only  drop  by  drop.  When  both  kidneys  are  affected,  there  may  be 
suppression  of  urine,  with  stupor,  terminating  rapidly  in  death  ; 
the  bowels  are  constipated. 

Disease  of  the  kidney  may  be  distinguished  from  lumbago,  by 
the  pain  being  confined  to  one  side,  and  is  increased  by  movement 
of  the  limbs  ; and  also  by  the  fact  that  there  is  no  pain  in  the  scro- 
tum, no  fever,  and  no  numbness  of  the  thigh  in  lumbago. 

Causes.  — Cold,  the  use  of  Cantharides,  oil  of  Turpentine  and 
other  diuretics,  violent  exercise,  transfer  of  rheumatism  or  gout, 
gravel  formation  in  the  kidneys  or  ureters  (the  tubes  leading  from 
the  kidneys  to  the  bladder.) 

In  chronic  inflammation  of  the  kidneys,  there  is  generally  a dull, 
heavy  pain  in  the  neighborhood  of  the  kidneys,  and  weakness  in 
the  small  of  the  back  The  urine  is  passed  often  in  small  quanti 
ties,  and  is  sometimes  white  and  milky. 


324 


OUR  FAMILY  PHYSICIAN. 


TREATMENT.  HOMEOPATHIC. 

Camphor.  — Should  be  given  when  the  disease  is  caused  by  the 
application,  or  use  of  the  Spanish  fly  (Cantharides),  or  when  the 
urine  passes  only  in  a slender  stream,  with  burning  in  the  bladder 
and  penis,  or  when  there  is  suppression  of  urine.  Give  one  or 
twc  drops  of  Camphor  on  a lump  of  sugar  every  hour  or  two,  until 
better. 

Aconite.  — Should  always  be  given  first,  either  alone,  or  in  alter 
nation  with  other  remedies.  This  will  sometimes  cure  a case 
without  any  other  medicine. 

Cantharis.  — Is  the  principal  remedy,  when  the  pains  are  shoot 
ing,  tearing,  and  cutting  ; the  urine  passes  only  by  a few  drops  at 
a time,  and  there  is  great  pain  ; the  urine  sometimes  mixed  with 
blood. 

Belladonna.  — When  the  pains  are  worse  periodically,  shooting 
from  the  kidney  down  into  the  bladder,  attended  with  colic.  He- 
par  Sulphur  may  follow  Belladonna. 

Pulsatilla.  — In  delicate  females  where  the  menses  have  stopped, 
or  are  very  scanty  ; also  w’hen  the  urine  is  scanty. 

Nux  Vomica.  — When  there  is  distension,  pressure,  and  weignt 
in  the  kidney  ; or  congestion  of  the  abdomen  ; or  when  the  disease 
is  caused  by  suppressed  piles. 

Arnica.  — Should  be  given,  and  also  applied  externally,  when 
the  disease  is  caused  by  external  injuries. 

The  above  remedies  may  follow  Arnica,  as  they  seem  to  be 
indicated. 

Other  remedies  are  Cannabis,  Terebinth,  Balsam  Copavia. 

If  the  inflammation  is  caused  by  the  passage  of  stone  through 
the  Ureter,  apply  warm  fomentations  of  Hops,  mixed  with  tobacco 
leaves,  over  the  seat  of  pain,  and  give  the  remedies  mentioned 
above. 

Administration  of  Remedies.  — Dissolve  of  the  selected  remedy, 
twelve  globules  in  half  a teacupful  qf  water,  and  give  a teaspoon* 
ful  every  half  hour,  hour,  or  two  hours,  according  to  the  urgency 
of  the  symptoms.  A sitting  bath  of  tepid  water  frequently  re- 
peated will  be  beneficial. 

ALLOPATHIC. 

The  feet  should  be  placed  in  a hot  mustard  bath,  or  mustard 
poultices  applied  to  them  ; at  the  same  time  apply  a mustard  poul- 
tice to  the  small  of  the  back,  and  follow  it  with  hot  fomentations 
of  stramonium  leaves  and  hops,  or  stramonium  and  wormwood,  or 
tansy.  It  is  well,  sometimes,  when  there  is  irritability  of  the 
stomach,  and  the  pain  is  very  acute,  to  give  Calomel  and  Opium  in 
the  proportion  of  three  or  four  grains  of  Calomel  to  one  of  Opium, 


GENERAL  DISEASES. 


325 


every  two  hours,  until  three  doses  have  been  taken,  unless  the  pa- 
tient is  previously  relieved.  When  substances  can  be  retained  on 
the  stomach,  drinks  of  gum  Arabic  water,  flaxseed  tea,  or  barley 
water,  etc.,  will  be  beneficial,  by  diluting  the  urine,  and  rendering  it 
less  irritating.  It  is  well  to  get  the  patient  into  a perspiration,, 
which  may  be  done  by  giving  from  five  to  ten  drop  doses  of  tincture 
of  Veratrum  Viride ; or  by  the  compound  tincture  of  Virginia 
Snakeroot,  given  in  doses  of  a teaspoonful  every  half  hour.  If  there 
is  constipation,  give  Epsom  Salts,  Cream  of  Tartar,  or  injections  of 
warm  water. 

When  the  disease  is  caused  by  gravel,  twenty  drops  of  liquor  Po- 
tassa,  taken  with  flaxseed  tea,  or  upland  cranberry  tea,  and  taken 
freely  as  a drink,  is  recommended. 

For  chronic  inflammation  of  the  kidneys,  infusions  of  Pipsissewa, 
Uva  Ursi,  Trailing  Arbutus,  Buchu  leaves,  Wild  Carrot,  Fox  Glove, 
may  be  used  with  advantage. 

SPECIAL  TREATMENT. — URIC  SOLVENT. 

All  diseases  of  the  kidneys  are  primarily  the  result  of  defective 
nutrition  and  over  stimulation,  the  principal  factors  being  fermented 
liquors,  alcoholic  stimulants,  fusil  oil,  nicotine,  mineral  and  impure 
waters,  essential  oils  employed  in  adulterated  liquors,  poisonous 
drugs,  chicory  in  coffee,  etc.  Through  the  action  of  these  the  cells 
of  the  kidneys  are  obstructed,  irritation  is  induced,  and  consequent 
inflammation,  often  suppuration,  follows ; these  important  organs 
lose  their  power  to  perform  their  natural  functions,  and  secrete  the 
water  from  the  blood,  which  is  loaded  with  the  waste  products  of  the 
body,  the  retention  of  which  acts  upon  the  nervous  system,  inducing 
neuralgia,  rheumatism,  gout,  and  particularly  diabetes  and  Bright’s 
disease.  The  object  of  the  Uric  Solvent  is  to  solve  and  neutralize 
the  uric  acid  and  calculus  deposits,  and  to  tone  up  the  organs  and 
stimulate  a healthy  action.  Preliminary  to  its  use,  if  there  is  acid- 
ity of  the  stomach  or  bowels,  a dose  of  Syrup  et  Soda  (half  an  ounce) 
may  be  given.  This  need  not  be  repeated  unless  there  should-be 
some  special  requirement  by  a “ sour  stomach.”  During  treatment, 
all  the  articles  mentioned  as  causing  kidney  diseases  should  be  pro- 
hibited. The  only  drink  should  be  rain  or  distilled  water.  This  is 
important,  the  only  exception  allowed  being  milk,  which  is  better 
omitted  than  used.  On  rising  in  the  morning  let  the  patient  take  a 
tumbler  of  rain  or  distilled  water.  The  water  may  be  hot  if  desired, 
with  milk  and  sugar.  The  Uric  Solvent  should  be  taken  three  or 
four  times  a day,  according  to  the  urgency  of  the  case,  in  doses  of 
from  one  to  two  teaspoonfuls.  Specific  directions  accompany  the 
medicine.  It  is  prescribed  by  physicians  of  every  school. 


326 


OUR  FAMILY  PHYSICIAN. 


Inflammation  of  the  Bladder,  ( Cystitis .) 

This  disease  attacks  the  lining  membrane  of  the  bladder,  or 
sometimes  its  muscular  substance,  or  it  may  attack  different  por- 
tions of  the  bladder.  It  is  either  acute,  or  chronic. 

Symptoms Burning,  piercing  pain  in  the  region  of  the  bladder, 

which  is  increased  by  pressure  upon  the  part.  The  pain  extends 
down  between  the  legs,  and  sometimes  to  the  testicles,  and  thighs  ; 
the  desire  to  urinate  is  constant,  but  the  urine  is  passed  with  great 
difficulty  and  much  pain  ; it  may  pass  drop  by  drop,  or  stop  entirely 
causing  swelling  of  the  bladder  and  great  distress  ; the  urine  some- 
times contains  mucus  ; there  are  also  present,  nausea  and  vomiting, 
constipation,  great  thirst,  hot,  dry  skin. 

Chronic  Inflammation  of  the  bladder. 

This  may  come  on  gradually,  and  generally  the  first  symptom 
that  will  be  noticed,  is  that  there  wil]  be  mucus  in  the  urine,  which 
will  make  its  appearance  after  the  urine  has  stood  for  a time  ; there 
will  be  slight  pain,  with  a feeling  of  heat  in  the  bladder,  and  ten- 
derness between  the  legs,  and  frequent  desire  to  pass  water  ; the 
appetite  becomes  deranged,  and  there  is  in  some  cases,  a slight  fe- 
ver, coated  tongue,  restlessness,  etc. 

Causes Inflammation  of  the  bladder  may  be  caused  by  taking 

Cantharides  and  Turpentine,  by  acid  substances  thrown  into  the 
bladder  with  a syringe,  by  stones  in  the  bladder,  by  external  inju- 
ries, horseback  riding,  gonorrhoea,  by  cold  applied  to  the  feet. 

treatment.  — allopathic. 

If  the  urine  is  retained,  it  should  be  drawn  off'  as  soon  as  possi- 
ble with  a catheter,  and  this  should  be  done  only  by  a physician. 
Leeches  should  be  applied  over  the  lower  part  of  the  bowels  and 
between  the  legs,  and  warm  poultices  should  be  applied  after  the 
leeches  have  been  removed.  Injections  of  warm  water,  with  a 
few  drops  of  tincture  of  Arnica,  will  sometimes  be  of  service. 
Perspiration  should  be  induced  by  the  tincture  of  Veratrum  Vi 
ride,  in  doses  of  five  or  ten  drops,  or  the  compound  tincture  of 
Virginia  Snakeroot.  Drinks  of  flaxseed  tea,  or  marsh  mallow,  and 
peach  leaves  may  be  taken. 


GENERAL  DISEASES. 


327 


For  chronic  inflammation  of  the  bladder,  apply  mustard  or  Cro- 
ton oil  every  night.  As  drinks,  use  infusions  of  Buchu,  Trailing 
Arbutus,  Uva  Ursi. 

The  following  may  be  found  good  in  some  cases  : 

Pulv.  Gum  Arabic.  ....  l scruple. 

Water,  -------  2 ounces. 

Sweet  spirits  of  Nitre,  ....  ^ ounce. 

Tincture  of  Veratrum  Yiride,  - - - 20  drops. 

Mix.  Dose,  half  a teaspoonful  every  half  hour. 

Injeotions  of  lime  water  and  glycerine,  or  a weak  solution  of 
Nitrate  of  Silver,  may  be  good  in  some  cases. 

HOMEOPATHIC. 

The  remedies  recommended  in  inflammation  of  the  kidneys,  may 
be  used  for  this  complaint.  In  addition,  the  following  may  be 
given  : Hyosciamus,  where  there  are  spasms  in  the  neck  of  the 

bladder.  When  Cantharides  fails  to  relieve  the  burning  during 
urination,  give  Arsenicum  and  Carbo  Veg.  in  alternation.  Sulphur 
and  Calcarea  may  be  given  when  the  disease  is  chronic. 

For  the  administration  of  remedies,  see  inflammation  of  the 
Kidneys. 


Retention  of  Urine,  [Ischuria.) 

In  this  disease,  the  urine  is  retained  in  the  bladder,  from  inability 
to  expel  it  ; there  will  generally  be  fullness  in  the  lower  part  of 
the  abdomen,  which  is  painful  on  pressure  ; pain  extending  to  the 
thighs  and  loins,  and  the  bladder  can  be  felt  enlarged  and  hard  ; 
there  will  sometimes  be  violent  straining  to  make  water,  when  only 
a few  drops  will  escape.  As  the  disease  progresses,  the  bowels 
become  hard,  face  flushed,  skin  hot.  If  the  patient  is  not  relieved, 
there  is  danger  of  rupture  of  the  bladder,  or  inflammation  of  the 
peritoneum. 

Causes. — It  may  be  owing  to  paralysis  of  the  bladder  ; by  inju- 
ries to  the  bladder ; inflammation  of  the  neck  of  the  bladder  ; 
enlarged  prostate  gland. 

TREATMENT.  ECLECTIC  AND  HERBAL. 

The  following  is  said  to  be  effectual  in  most  cases  : 

Make  a pint  of  strong  spearmint  tea,  and  add  half  a gill  of  Hoi- 


328 


OUR  FAMILY  PHYSICIAN. 


land  gin,  and  one  ounce  of  spirits  of  nitre.  The  patient  should 
drink  the  whole  of  this  within  an  hour,  at  different  times.  It 
should  be  repeated  within  the  next  two  hours,  if  the  first  dose  is 
not  sufficient. 

If  the  retention  is  owing  to  inflammation  of  the  neck  of  the 
bladder,  place  the  patient  in  a warm  hip  bath,  allowing  him  to 
remain  fifteen  or  twenty  minutes  ; and  on  coming  out,  apply  a 
fomentation  of  equal  parts  of  hops  and  lobelia  leaves  between 
the  legs. 

A tea  of  watermelon  seeds,  or  pumpkin  and  cucumber  seeds, 
drank  freely,  is  sometimes  beneficial.  If  there  is  much  pain,  give 
twenty  drops  of  Laudanum  every  half  hour. 

When  the  retention  is  owing  to  paralysis  of  the  bladder,  use  the 
following  : 

Strychnine grain. 

Cantharides  ------  “ 

Powdered  Arnica  Leaves  - - - - 3 to  5 grains. 

Mix  for  a dose.  Three  of  these  powders  may  be  given  in  the 
course  of  twenty-four  hours. 

If  the  Strychnine  produces  an  unpleasant  effect  upon  the  person, 
the  medicine  should  be  suspended. 

The  urine  should  be  drawn  off  with  a catheter,  if  no  other  means 
are  effectual.  The  case  should  not  be  allowed  to  continue  for  any 
length  of  time  before  this  is  done. 

HOMEOPATHIC. 

When  the  retention  is  caused  by  the  use  of  Spanish  fly  ; give 
Camphor,  Pulsatilla,  Apis,  Aconite. 

If  by  taking  cold  ; JSTux  Yomica,  Mercury,  Dulcamara,  Pulsatilla, 
Belladonna,  Apis. 

If  after  a fright;  Aconite.  If  after  a fall,  or  blow;  Arnica. 

When  the  retention  is  spasmodic  ; Chamomilla,  Belladonna,  Nux 
Yomica,  Opium,  Hyosciamus. 

For  paralysis  of  the  bladder  ; Agnus  Castus,  Nux  Yomica,  Hyos- 
ciamus, Arsenic,  Dulcamara. 

When  it  is  caused  by  inflammation  of  the  bladder  ; Aconite, 
Cantharides,  Belladonna,  Nux  Yomica,  Pulsatilla.  (See  Cystitis.) 

If  it  occurs  in  pregnant  females ; Pulsatilla,  Nux  Yomica, 
Cocculus. 

Administration  of  Remedies.  — The  same  as  in  inflammation  of  the 
kidneys. 

Drinking  large  quantities  of  cold  water,  or  gum  arabic  water, 
will  be  found  beneficial,  as  also  baths  of  cold  or  warm  water. 


GENERAL  DISEASES. 


329 


Incontinence  of  Urine , (Entires is.) 

This  disease  is  common  to  children,  and  the  patient  is  unable  to 
hold  his  water.  It  is  generally  passed  off  during  the  night  while 
the  patient  is  in  bed.  The  difficulty  is  also  frequently  found  among 
old  people. 

Causes.  — Paralysis  of  the  bladder  ; injury  to  the  spinal  nerves 
which  go  to  the  bladder  ; weakness  of  the  nervous  system  ; worms  ; 
piles;  gravel  or  stone  in  the  bladder. 

TREATMENT.  HOMEOPATHIC. 

Silicea  may  be  given,  a dose  every  evening.  If  not  better  with- 
in two  weeks,  give  Sepia  in  the  same  manner. 

Sulphur,  Arsenic,  and  Carbo  Veg.,  may  be  given  one  after  ^an- 
other when  the  above  remedies  do  not  relieve. 

Other  remedies  are  Belladonna,  Hyosciamus,  Cantharides,  Nux 
Vomica,  Ignatia,  Pulsatilla,  Rhus,  Mercury,  Cina. 

When  the  inflammation  is -owing  to  paralysis,  the  remedies  are 
Cantharides,  Nux  Yomica,  Rhus,  Uva  Ursi. 

Administration  of  Remedies.  — Of  the  remedy  selected,  give  a 
dose,  morning  and  evening.  If  the  pellets  are  used,  give  four  or 
six  at  a dose. 

ALLOPATHIC. 

The  child  on  going  to  bed  should  not  be  allowed  to  drink  water, 
and  should  be  taken  up  several  times  during  the  night  to  urinate. 

The  following  may  be  taken  with  advantage  : 

Benzoic  Acid,  .....  2 drachms. 

Cinnamon  water,  - - - - -6  ounces. 

Mix.  Dose,  a teaspoonful  three  times  a day. 

ECLECTIC  AND  HERBAL. 

The  following  may  be  used  with  good  effect : 

Muriated  Tincture  of  Iron,  - - -1  ounce. 

Tincture  of  Cantharides,  -J-  “ 

Mix,  and  give  to  a child  three  drops  for  each  year  of  its  age, 
three  times  a day. 

It  should  be  allowed  to  drink  freely  of  cold  tea  of  cherry  tree 
bark,  or  dandelion  root. 

The  following  may  be  used,  and  will  be  found  very  effective 
among  children  : 

Take  of  Isinglass  (long  staple)  one  roll ; boil  it  in  a pint  of 


330 


OUR  FAMILY  PHYSICIAN. 


water  until  it  is  dissolved,  add  one  pint  of  sweet  milk,  place  it 
over  a fire  until  it  is  slightly  boiled,  and  then  sweeten  with  loaf 
sugar,  and  grate  nutmeg  upon  it.  When  it  is  made  properly  it 
resembles  custard.  For  an  adult,  a tumblerful  may  be  given  three 
times  a day,  and  for  children,  a smaller  quantity.  The  tincture  of 
Cantharides  may  be  given  in  doses  of  from  ten  to  fifteen  drops, 
twice  a day  to  an  adult,  and  in  proportionate  quantity  to  a child. 

Diabetes. 

This  is  a disease  in  which  large  quantities  of  urine  are  passed, 
sometimes  amounting  to  several  gallons  in  twenty-four  hours. 

Symptoms.  — The  appetite  is  voracious,  and  there  is  great  thirst; 
dry  skin  ; the  digestion  is  imperfect ; the  gum3  swollen  and  in- 
flamed ; dry,  parched  mouth  ; waste  of  flesh  ; debility,  pain  and 
weakness  in  the  loins  ; loss  of  sexual  appetite  ; frequent  attacks 
of  dizziness  and  pain  in  the  head ; the  urine  contains  a large 
amount  of  sugar,  for  which  there  are  several  tests. 

Causes . — It  may  be  caused  by  any  means  that  derange  the  di- 
gestive functions  ; intemperate  habits  ; great  fatigue  ; constant  use 
of  acid  drinks  ; use  of  Mercury ; exposure  to  cold. 

TREATMENT. ALLOPATHIC. 

Alum,  in  doses  of  three  grains,  three  times  a day,  will  be  found 
beneficial,  also  Creosote  in  doses  of  one  or  two  drops,  three  times 
a day. 

Tincture  of  Cantharides  may  also  be  used.  The  following  is 
recommended  for  some  cases  : 

Peruvian  Bark,  .....  1 scruple. 

Wild  Cranberry  Leaves,  - - - 1 “ 

Opium,  ------  ^ grain. 

Mix,  and  take  three  times  a day. 

The  patient  should  not  be  allowed  to  eat  articles  which  contain 
sugar  or  starch,  such  as  potatoes,  beets,  parsnips,  and  other  vege- 
tables. 


ECLECTIC  AND  HERBAL. 

The  bowels  should  be  kept  regular  by  means  of  small  doses  of 
Rhubarb  three  times  a day,  or  by  the  use  of  other  mild  purgatives. 
An  infusion  of  equal  parts  of  Unicorn  Root  and  Bugleweed  may 


GENERAL  DISEASES. 


333 


be  drank  frequently  with  benefit.  The  following  compound  may 
be  used  as  a restorative  : 

Beth  Root, 4 ounces. 

Black  Cohosh  Root,  - - - 4 “ 

Geranium  Root,  .....  4 a 

Cherrytree  Bark,  - - - - - 4 “ 

Powder  the  whole,  and  mix,  then  take  about  half  an  ounce  of 
the  mixture,  and  pour  on  it  a pint  of  boiling  water,  and  when  cold, 
drink  the  whole,  and  repeat  it  several  times  during  the  day. 


The  following  pills 

may  be  taken  to  act  on  the  liver  and 

tions  : 

Podophyllin, 

10  grains. 

Sanguinarin, 

10  “ 

Cayenne, 

40  “ 

Ipecac, 

20  “ 

Make  into  forty  pills  with  extract  of  Dandelion,  and  take  a pill 
night  and  morning. 

HOMEOPATHIC. 

The  principal  remedies  are  Phosphoric  Acid,  Carbo  Veg.,  Coni- 
um,  Muriatic  Acid,  Mercury,  Belladonna,  Rhus,  Opium. 

When  Mercury  and  Sulphur  are  given,  they  may  be  given  in 
alternation  (turn  about.) 

Administration  of  Remedies. — Of  the  selected  remedy,  give  a 
dose  morning  and  evening,  and  each  remedy  should  be  continued 
for  one  or  two  weeks  before  changing  to  another. 

When  the  pellets  are  used,  give  six  at  one  dose.  Frequent 
sponging  of  the  body  in  cold,  or  tepid  water  will  be  found  bene- 
ficial. 

Gravel,  or  Stone  in  the  Bladder,  (Calculus.) 

This  disease  is  caused  by  a collection  of  sand,  and  the  formation 
of  gravel  or  stone  in  the  kidneys  or  bladder. 

Sympto7ns.  — Sudden  attacks  of  pain  in  the  region  of  the  kid- 
neys, of  a very  acute  and  severe  character,  the  pain  runs  down 
the  thighs,  and  causes  a numbness  of  the  affected  side,  and  a draw- 
ing up  of  the  testicle  ; there  is  frequent  desire  to  urinate  ; when 
the  stone  is  in  the  bladder,  there  will  be  pain  in  the  end  of  the 
penis  accompanied  with  more  or  less  inflammation,  and  difficulty 


332 


OUR  FAMILY  PHYSICIAN. 


of  urination  ; in  urinating,  the  water  will  suddenly  stop  and  severe 
pain  be  felt,  caused  by  the  stone  lodging  over  the  mouth  of  the 
bladder  ; a change  in  the  position  will  sometimes  relieve  this. 

TREATMENT. 

This  disease  is  too  important  and  too  dangerous  to  be  treated 
domestically,  and  the  case  should  therefore,  be  put  into  the  hands 
of  a competent  physician. 

Sarsaparilla,  in  doses  of  one  drop  on  a lump  of  sugar,  every  eve- 
ning will  sometimes  relieve  attacks. 

Blood  with  the  Urine,  ( Hcematuria .) 

Haematuria,  means  hemorrhage  or  bleeding  from  the  urinary  pas- 
sage, whether  it  be  from  the  bladder,  kidneys,  ureters,  or  urethra. 

Symptoms . — The  passage  of  the  blood  is  generally  preceded  by 
pain  in  the  region  of  the  bladder  or  kidneys,  with  faintness  ; there 
is  generally  tenderness  upon  pressure  over  the  kidneys  or  bladder  ; 
if  the  blood  comes  from  the  kidneys,  the  urine  will  resemble  bloody 
water,  or  dark  beer  ; when  the  blood  comes  from  the  ureters,  (the 
canals  which  convey  the  urine  from  the  kidneys  to  the  bladder,) 
there  will  be  considerable  pain,  and  the  urine  passed  will  resemble 
that  passed  from  the  bladder,  only  the  clots  will  be  more  elongated  ; 
if  the  blood  comes  from  the  bladder,  it  is  not  mixed  with  the  urine, 
hiU  is  in  the  form  of  small  flakey  clots  ; when  the  blood  comes  from 
the  urethra  (the  passage  leading  from  the  bladder,)  it  comes  drop 
by  drop,  and  is  not  mixed  with  the  urine  ; sometimes  pus,  or  putrid 
matter  will  be  found  in -the  urine,  which  is  an  evidence  that  there 
is  ulceration  somewhere. 

Causes.  — Injuries  from  falls,  blows,  lifting,  or  jumping.  May 
also  be  produced  by  stone  in  the  bladder,  or  inflammation  of  that 
organ,  also  from  the  use  of  spirits  of  Turpentine,  or  Cantharides. 

TREATMENT. ECLECTIC  AND  HERBAL. 

The  patient  should  be  allowed  to  drink  freely  of  a decoction  of 
Marshmallow  ; or  equal  parts  of  the  Queen  of  the  Meadow  and 
Peach  leaves.  When  the  pain  is  severe,  a fomentation  of  Hops, 
or  Stramonium  leaves  may  be  placed  over  the  seat  of  pain  ; an  in- 
fusion of  Trailing  Arbutus  maybe  sometimes  used  with  advantage 


GENERAL  DISEASES. 


333 


HOMEOPATHIC. 

Arsenic  is  useful  in  some  cases,  especially  when  there  are  symp 
toms  of  dropsy. 

Other  remedies  are  China,  Ipecac,  Pulsatilla,  Arnica,  Ly 
copodium. 

Administration  of  Remedies.  — Of  the  remedy  selected,  give  a 
dose  (six  globules)  every  hour,  two,  three,  or  four  hours,  accord- 
ing to  the  urgency  of  the  symptoms. 

ALLOPATHIC. 

Leeches  may  be  applied  over  the  region  of  the  bladder  with 
advantage. 

The  following  is  recommended  as  being  very  beneficial : 

Sugar  of  Lead, 24  grains. 

Vinegar, 1 drachm. 

Syrup  of  Poppies,  ....  1 ounce. 

Rose  water,  ......  3 ounces. 

Soft  water,  ......  4 u 

Mix.  Dose,  one  or  two  tablespoonfuls  every  two  hours,  until  five 
or  six  doses  have  been  taken.  Gallic  Acid  is  said  to  have  great 
power  in  this  complaint.  It  may  be  given  in  doses  of  five  grains 
with  ten  drops  of  tincture  of  Henbane,  in  a teaspoonful  of  mucil- 
age of  Gum  Arabic. 


Masturbation,  {Onanism.) 

This  is  a very  degrading  and  destructive  habit,  indulged  in 
by  young  people  of  both  sexes.  There  is  probably  no  vice  which 
is  more  injurious  to  both  mind  and  body,  and  produces  more  fearful 
consequences  than  this.  It  is  generally  commenced  early  in  life 
before  the  patient  is  aware  of  its  evil  influence,  and  it  finally  be- 
comes so  fastened  upon  him,  that  it  is  with  great  difficulty  that  he 
can  break  off  the  habit. 

Symptoms.  — The  symptoms  produced  by  this  vice  are  numerous. 
When  the  habit  begins  in  early  life,  it  retards  the  growth,  impairs 
the  mental  faculties  and  reduces  the  victim  to  a lamentable  state. 
The  person  afflicted  seeks  solitude,  and  does  not  wish  to  enjoy  the 
society  of  his  friends  ; he  is  troubled  with  headache,  wakefulness 
and  restlessness  at  night,  pain  in  various  parts  of  the  body,  indo 


su 


OUR  FAMILY  PHYSICIAN. 


lence,  melancholy,  loss  of  memory,  weakness  in  the  back  and  gen- 
erative organs,  variable  appetite,  cowardice,  inability  to  look  a 
person  in  the  face,  lack  of  confidence  in  his  own  abilities. 

When  the  evil  has  been  pursued  for  several  years,  there  will  be 
an  irritable  condition  of  the  system  ; sudden  flushes  of  heat  over 
the  face  ; the  countenance  becomes  pale  and  clammy  ; the  eyes 
have  a dull,  sheepish  look  ; the  hair  becomes  dry  and  split  at  the 
ends  ; sometimes  there  is  pain  over  the  region  of  the  heart ; short- 
ness of  breath  ; palpitation  of  the  heart ; symptoms  of  dyspepsia 
show  themselves  ; the  sleep  is  disturbed  ; there  is  constipation  ; 
cough  ; irritation  of  the  throat ; finally  the  whole  man  becomes  a 
wreck,  physically,  morally  and  mentally. 

Some  of  the  consequences  of  masturbation,  are  epilepsy,  apo- 
plexy, paralysis,  premature  old  age,  involuntary  discharge  of  semi- 
nal fluid,  which  generally  occurs  during  sleep,  or  after  urinating, 
or  when  evacuating  the  bowels.  Among  females,  besides  these 
other  consequences,  we  have  hysteria,  menstrual  derangement,  cati- 
lepsy  and  strange  nervous  symptoms. 

GENERAL  TREATMENT. 

First  of  all,  the  habit  must  be  abandoned ; this  is  the  first  and 
most  important  thing  to  be  secured,  for  unless  this  is  done,  every 
other  treatment  will  be  without  avail.  Every  thing-should  be  done 
to  strengthen  the  moral  nature  of  the  patient,  and  to  raise  his  self- 
respect.  He  should  cultivate  the  society  of  virtuous  and  intel- 
lectual females.  Everything  of  a lascivious  character  must  be 
avoided.  His  mind  should  be  directed  to  some  employment  or 
amusement,  that  will  engage  his  attention  without  causing  fatigue. 
He  should  avoid  solitude  and  never  be  left  alone  more  than  is  abso- 
lutely necessary,  and  above  all  he  should  never  be  permitted  to 
sleep  alone.  The  patient  should  sleep  on  a mattress,  and  be  lightly 
covered  with  clothes.  Frequent  bathing  and  washing  of  the  prb 
vate  parts  should  be  employed,  as  well  as  sitting  baths,  and  bath- 
ing the  whole  body.  The  treatment  of  this  disease  should  be  under- 
taken only  by  a skillful  physician. 

HOMEOPATHIC. 

Mercurius,  Phosphorus,  Aurum,  Nux  Vomica,  Cuprum,  Can- 
tharides,  Conium,  Cannabis,  are  the  principal  remedies  in  this  com- 
plaint. 

Administration  of  Remedies.  — Of  the  remedy  selected,  take  a 
dose  . (six  globules)  morning  and  evening. 


GENERAL  DISEASES. 


335 


ALLOPATHIC. 

Tonics  should  be  used,  of  which  the  following  is  recommended  : 
Diluted  Nitric  Acid,  ....  4 drachms. 

Diluted  Muriatic  Acid,  - - • -4 

Sjrup  of  Orange  Peel,  ...  - 1 drachm. 

Water, 1|  ounces. 

Mix.  Dose,  a teaspoonful  in  a wineglass  of  water,  before  each 
meal. 


Or  this  : 


Sulphate  of  Quinine,  - - - - 15  grains. 

Diluted  Sulphuric  Acid,  * • - - 15  drops. 

Compound  Tinct.  of  Cardamon,  • • 3 drachms. 

Tinct.  of  Hops, 3 “ 

Compound  Infusion  of  Roses,  • • 6 ounces. 

Mix.  Dose,  a teaspoonful  two  or  three  times  a day. 


Or  this  : 

Muriated  Tinct-  of  Iron,  • • - 1 ounce. 

Rose  Water,  ------  6 ounces. 

Syrup  of  Orange  Peel,  1 ounce. 

Mix.  Dose,  for  an  adult  one  teaspoonful  in  a wineglass  of  water 
after  each  meal. 

Syrup  of  the  Hypophosphites  is  recommended  to  be  taken,  and 
should  be  continued  for  a considerable  length  of  time. 


ECLECTIC  AND  HERBAL. 

The  following  tonic  may  be  used  when  there  is  but  little  debil- 
ity : 

Red  Peruvian  Bark,  ....  2 ounces. 

Chamomile  Flowers,  • 1 ounce. 

Port  Wine, 1 quart. 

Mix,  and  let  it  stand  a few  days,  frequently  shaking.  Dose,  a 
wineglassful  three  or  four  times  a day. 

If  there  is  debility,  nervousness,  constipation,  depression  of  spir- 
its, the  following  may  be  used  : 

Chloroform,  ------  £ ounce. 

Tinct.  of  Ginger,  - - - - - “ 

Aromatic  Spirits  of  Ammonia,  - - 2 drachms. 

Mix.  Dose,  twenty-five  drops  in  a wineglass  of  milk  three  times 
a day. 

When  there  is  spermatorrhoea  or  emission  oi  semen,  the  fol- 
lowing pills  will  be  found  good  : 


336 


OUR  FAMILY  PHYSICIAN. 


Camphor,  ------  24  grains. 

Ext.  of  Belladonna,  4 “ 

Oil  of  Cubebs,  -----  20  drops. 

Mix,  and  make  into  a mass  with  equal  parts  of  powdered  mag- 
nesia, and  Gum  Arabic,  and  divide  into  twenty-four  pills.  Dose, 
one  pill  three  times  a day. 

Pox,  ( Syphilis .) 

This  is  a loathsome  disease,  and  is  the  result  of  impure  sexual 
intercourse.  It  is  characterized  by  the  appearance  of  a pimple 
surrounded  by  a slight  inflammation,  and  the  formation  of  an  ulcer 
or  chancre.  The  ulcer  generally  appears  in  from  five  to  fourteen 
days  after  exposure. 

Chancres  are  of  different  varieties,  and  may  be  very  destructive 
to  the  organ,  and  there  is  generally  a bubo  or  swelling  in  the  groin, 
which  appears  in  a few  days  after  the  ulcer  ; this  swelling  may 
continue  until  matter  forms,  when  it  may  break,  or  require  to  be 
opened.  . 

When  syphilis  affects  the  constitution,  it  is  known  as  secondary, 
and  tertiary  ; it  then  shows  itself  in  the  forms  of  eruptions,  sore 
throat,  and  ulcers  in  different  parts  of  the  body. 

The  eruption  generally  appears  on  the  forehead,  back,  legs  and 
arms,  copper  colored,  attended  with  slight  itching  ; the  pustule  is 
sometimes  filled  with  a pale  fluid.  When  the  mouth  and  throat 
are  affected,  the  parts  become  swollen  and  sore,  or  red  and  covered 
with  a white  membrane,  or  there  may  be  a pale  yellow  ulcer  of 
the  throat  or  tonsils,  or  a dark,  livid,  and  sloughing  ulcer,  which 
may  extend  to  the  various  parts  about  the  throat,  and  nose,  de- 
stroying the  bones  of  the  face. 

TREATMENT. ALLOPATHIC. 

As  soon  as  the  ulcer  appears  on  the  penis,  it  should  be  immedi- 
ately touched  witli  caustic.  The  caustics  which  may  be  used  are 
Nitrate  of  Silver,  Nitric  Acid,  Caustic  Potassa,  Chloride  of  Zinc. 
The  Nitrate  of  Silver  is  the  most  used,  and  the  pimple  should  be 
thoroughly  burned.  After  the  sore  has  been  cauterized,  a piece  of 
lmt  dipped  in  a solution  of  opium,  in  the  proportion  of  one  drachm 


GENERAL  DISEASES. 


337 


of  opium,  to  four  ounces  of  water,  should  be  laid  upon  it,  and  the 
penis  enveloped  in  a piece  of  muslin  and  covered  with  oiled  silk. 

Besides  dressing  the  ulcers  in  the  manner  described,  the  patient 
should  be  treated  with  some  internal  remedy  that  will  cleanse  the 
blood  of  the  syphilitic  poison,  though  in  doing  this  great  care  should 
be  exercised,  as  many  of  the  remedies  prescribed  for  this  disease  are  so 
severe  in  their  effects  as  to  injure  the  stomach  and  the  digestive 
organs  generally,  producing  dyspepsia  and  other  derangements  of  the 
alimentary  canal.  The  venerable  Prof  Valentine  Mott,  for  many 
years  a surgeon  of  the  New  York  Hospital,  many  years  ago  recommend- 
ed the  use  of  Swaim’s  Panacea.  As  the  preparation  is  free  from  Mer- 
cury, and  harmless  in  its  action  upon  the  stomach,  it  is  effective  in 
purifying  the  blood  of  the  syphilitic  poison.  The  remedy  is  well 
known,  and  can  be  procured  from  druggists,  with  full  directions  for 
use.  It  is  also  a most  efficient  medicine  in  all  disorders  arising  from 
impure  blood  proceeding  from  any  cause.  It  is  very  useful  as  a 
household  remedy  for  all  disorders  of  this  nature. 

The  following  may  be  used  with  advantage  in  some  cases : 

Blue  Pill, \ drachm. 

Extract  of  Henbane,  - - - - - 1 scruple. 

Make  into  ten  pills.  Dose,  one  pill  at  night.  Or  this  : 

Corrosive  Sublimate,  4 grains. 

Extract  of  Opium,  - - - - - 5 “ 

Mix,  and  make  into  twenty  pills.  Dose,  one  pill  night  and 
morning. 

These  preparations  of  Mercury  should  not  be  used  more  than 
five  days  in  succession,  as  there  is  danger  of  producing  salivation. 

Bicord  recommends  Iron  to  be  given  in  the  proportion  of  one 
part  of  the  Potassio-Tartrate  of  Iron,  to  six  parts  of  water.  Two 
teaspooniuls  given  three  times  a day.  The  same  preparation 
should  be  applied  to  the  sore.  The  bubo  or  swelling  in  the  groin, 
should  be  treated  with  compression.  If,  however,  matter  forms  the 
sore  should  be  opened  and  poulticed.  In  case  of  an  eruption  on  the 
skin,  or  when  the  disease  shows  itself  in  the  throat,  or  other  parts  of 
the  body,  the  Iodide  of  Potassium  may  be  given  as  follows : 

Compound  Infusion  of  Sarsaparilla,  - 1 pint. 

Iodide  of  Potassium,  ...  - £ ounce. 

Mix.  Dose,  a teaspoonful  after  every  meal. 

The  diet  should  be  strictly  regular,  the  patient  not  being  allowed 
to  eat  any  stimulating  food3  or  drink  liquors. 


338 


OUR  FAMILY  PHYSICIAN. 


ECLECTIC  AND  HERBAL. 

The  sore  should  be  touched  with  Nitrate  of  Silver,  or  a few 
drops  of  Nitric  or  Muriatic  Acid.  The  tincture  of  the  Muriate 
of  Iron  may  be  used  after  this,  applied  on  lint.  The  bowels 
should  be  kept  in  a loose  condition,  and  for  this  purpose  use  the 
following  : 

Blue  Mass,  ......  60  grains. 

Podophyllin,  - - - • - - 20  “ 

Make  into  twenty  pills,  and  take  one,  night  and  morning  ; when 
they  begin  to  operate  on  the  bowels  take  one  a day. 

When  a bubo  appears,  bind  on  it  cloths  wet  with  the  following 
mixture  : 

Iodine, 1 scruple. 

Iodide  of  Potassium,  ....  2 scruples. 

Water,  1 ounce. 

Apply  twice  a day.  Poke  Root  poultices  should  be  applied  at 
the  same  time,  made  by  washing  the  fresh  root  in  hot  ashes  until 
it  becomes  soft,  and  mashing  it.  If  matter  forms  it  is  best  that 
the  bubo  should  be  opened  with  caustic  as  it  heals  much  better 
than  if  opened  with  a knife.  It  should  be  well  cleansed  once  a 
day  with  warm  Castile  soap  suds,  and  the  soap  suds  should  also  be 
injected  into  it  with  a syringe. 

The  following  is  recommended  by  Dr.  King  as  an  excellent  prep- 
aration in  Syphilis,  in  all  its  forms  : 

Compound  Syrup  of  Stillingia,  - - 4 ounces. 

Saturated  Tinct.  of  Poke  Root,  - - 4 “ 

Saturated  Tinct.  of  Sheep  Sorrel,  - 4 “ 

Mix.  Dose,  from  a teaspoonful  to  half  a tablespoonful  three 
times  a day. 

For  constitutional  syphilis,  if  there  are  ulcers  in  the  throat,  a 
gargle  of  a strong  decoction  of  White  Oak  bark,  with  a little 
Borax  and  Alum  may  be  used,  and  the  same  may  be  given  intern- 
ally without  the  Borax,  a tablespoonful  two  or  three  times  a day. 

If  there  are  eruptions  on  the  skin,  the  body  should  be  well 
cleansed  once  or  twice  a day,  and  then  washed  in  a mixture  of 
Nitric  and  Muriatic  Acid,  each  a teaspoonful,  and  warm  water,  two 
quarts.  The  loliowing  may  be  used  as  teas  : 

May  Apple  root,  Blueflag  root,  Poke  root,  Yellow  Dock  root, 
Sassafras,  Stillingia,  Sarsaparilla,  Bitter  root.  A decoction  may 
be  made  of  any,  or  of  all  of  these,  and  to  each  pint  of  the  decoc- 
tion, add  one  drachm  of  Iodide  of  Potassa.  Dose,  two  or  three 
tablespoonfuls  twice,  or  three  times  a day.  The  compound  spirit^ 

Stillingia  may  be  used  in  some  cases. 


GENERAL  DISEASES. 


339 


The  ulcers  which  appear  on  the  body,  may  be  treated  with  the 
tincture  of  the  Muriate  of  Iron,  and  poultices  of  Powdered  Alum 
and  Poke  root,  applied  at  night. 

Pains  in  the  bones  may  be  benefited  by  the  following  pill : 
Inspissated  Juice  of  Ipecac,  * - 1 or  2 drachms. 

Ext.  of  Stramonium,  - - * ‘ i or  i grain. 

May  be  made  into  one  pill,  and  repeated  two  or  three  times  a 
day. 

Sulphate  of  Copper  maybe  used  as  a wash  for  the  throat.  Add 
thirty  grains  of  the  Copper  to  an  ounce  or  two  of  water,  and  wash 
the  throat  by  means  of  a swab  two  or  three  times  a day. 

HOMEOPATHIC. 

The  sore  as  soon  as  it  appears,  should  be  cauterized  with  Nitrate 
of  Silver,  or  Nitric  Acid,  or  Red  Precipitate.  Internally,  give 
Mercury,  Hydriodate  of  Potassa,  Red  Precipitate,  Sulphur,  Sili- 
cea,  Aurum,  Mezerium. 

In  secondary  syphilis,  where  there  is  soreness  and  ulceration  of 
the  throat,  the  compound  tincture  of  Benzoin  may  be  used,  applied 
with  a camel’s  hair  pencil  every  few  days.  The  remedies  which 
may  be  given  are,  Biniodide  of  Mercury,  Kali  Ilydriodicum.  The 
Mercury  may  be  given  on  one  week,  and  the  Kali  on  the  next 
week,  and  so  on  alternately  each  week. 

Other  remedies  which  may  be  used  are  Sulphuric  Acid,  Lache- 
sis,  Phosphorus,  Ilepar  Sulphur,  Borax. 

Administration  of  Remedies.  — Of  the  remedy  selected,  give  a 
dose  every  two,  three,  or  four  hours.  When  the  remedy  is  in  pel- 
lets, give  six  at  one  dose,  if  in  powder,  give  two  grains.  In  con- 
stitutional syphilis,  give  a dose  three  times  a day. 

Clap,  ( Gonorrhoea^  Gleet.) 

This  is  an  inflammation  of  the  mucous  membrane  lining  the  ure- 
thra, accompanied  by  a discharge,  and  is  the  result  of  impure 
connection. 

Symptoms.  — Gonorrhoea  generally  shows  itself  in  from  three  to 
eight  days  after  an  improper  connection.  It  commences  with  an 
uneasiness  in  the  end  of  the  penis,  accompanied  generally  with  a 
little  redness,  and  difficulty  in  passing  water  ; in  a day  or  two  the 
discharge  of  matter  increases,  and  becomes  thinner,  and  of  a 
greenish  or  yellowish  color,  sometimes  tinged  with  blood.  The 


340 


OUR  FAMILY  PHYSICIAN. 


head  of  the  penis  is  red  and  inflamed,  and  the  urine  occasions  a 
scalding  pain.  When  the  inflammation  extends  to  the  bladder, 
there  is  a distressing  desire  to  pass  water,  with  a constant  uneasi- 
ness about  the  testicles,  and  between  the  legs.  When  the  inflam- 
mation is  high,  it  produces  what  is  called  chordee,  in  which  the 
penis  is  in  a state  of  erection,  and  is  curved  downward  with  great 
pain  ; this  occurs  generally  when  the  patient  is  warm  in  bed. 
From  the  inflammation,  phimosis  may  ensue,  in  which  the  foreskin 
is  hard  and  swollen  so  that  it  can  not  be  drawn  back  ; or  when  the 
swelling  takes  place  behind  the  head,  it  can  not  he  drawn  forward, 
and  is  called  paraphimosis.  The  glands  of  the  groin  sometimes 
swell  and  inflame,  as  well  as  the  testicles. 

Gleet  is  the  result  of  gonorrhoea,  and  proceeds  into  the  chronic 
form,  after  active  inflammation  has  subsided.  It  is  sometimes  very 
obstinate.  Another  result  of  gonorrhoea  is  stricture,  which  is  a 
partial  closing  up  of  the  urethra,  or  passage  leading  from  the  blad- 
der ; this  may  be  known  by  the  stream  of  water  becoming  flat- 
tened or  twisted,  like  a gimlet,  or  forked. 

GENERAL  TREATMENT. 

The  patient  should  give  strict  attention  to  cleanliness,  frequently 
washing  the  parts.  The  diet  should  be  plain  and  nourishing, 
avoiding  liquors,  fat  meats,  pastry,  etc. 

ECLECTIC  AND  HERBAL 

If  taken  at  the  commencement,  the  disease  may  be  cut  short  by 
putting  twenty  grains  of  Nitrate  of  Silver  into  one  ounce  of 
water,  and  injecting  about  two  teaspoonfuls  up  the  penis,  retaining 
it  for  half  a minute  or  so,  and  repeating  two  or  three  times  a day  ; 
what  is  called  a P.  P.  syringe  may  be  used  for  this  purpose.  At 
the  same  time  take  three  or  four  grains  of  Podophyllin,  with  a tea- 
spoonful  of  Cream  of  Tartar,  or  a dose  of  Salts.  Another  injection 
is  as  follows : 

Chloride  of  Zinc,  ....  from  1 to  3 grains. 

Distilled  water,  - - * - 1 ounce. 

Mix,  and  inject  a teaspoonful  every  six  or  eight  hours.  Or  this 

Decoction  of  Golden  Seal,  1 ounce. 

Sulphate  of  Zinc, 3 grains. 

Mix,  and  use  as  the  preceding. 


GENERAL  DISEASES. 


341 


The  injections  should  be  always  used  immediately  after  urinat- 
ing, and  the  patient  should  not  urinate  for  at  least  half  an  hour 
afterwards. 

In  the  female,  the  vagina  should  be  injected  and  bathed  three  or 
four  times  daily  with  one  of  the  above  preparations. 

The  following  may  be  taken  internally  with  excellent  effect : 
Canada  Balsam,  .....  l ounce. 

Spirits  of  Sweet  Nitre,  ...  4 ounces. 

Oil  of  Turpentine,  .....  2 drachms. 

Powdered  Camphor,  ...  l drachm. 


Mix.  Dose,  a teaspoonful  three  times  a day. 

When  the  inflammation  has  subsided,  add  to  the  above,  powdered 
Kino,  one  drachm.  The  patient  should,  at  the  same  time  use  as  a 
drink,  an  infusion  of  Marshmallow,  and  Burdock  root. 


The  following  may  be  used  in  some  cases : 

Oil  of  Cubebs,  • - • • 1 ounce. 

Oil  of  Anise,  ...  - 1 “ 

Balsam  of  Copaiva,  1 u 

Laudanum,  - - - • - 1 il 

Tincture  of  Muriate  of  Iron,  1 u 

Mix.  Dose,  a teaspoonful  three  times  a day. 

When  there  is  chordee  at  night,  take  thirty  or  forty  drops  of 
Laudanum  at  bedtime,  or  the  following : 

Powdered  Opium,  - - 1^  grains. 

Camphor,  • ...  10  u 


Mix,  and  take  at  one  dose. 


When  the  disease  becomes  chronic,  or  takes  on  the  form  of  gleet, 
an  injection  of  an  infusion  of  common  green  tea  with  five  or  six 
grains  each  of  Sugar  of  Lead,  and  Sulphate  of  Zinc,  to  each 
ounce  of  the  infusion  may  be  used.  At  the  same  time  use  the 
following : 

Solidified  Balsam  of  Copaiva,  - - 1 drachm. 

Venice  Turpentine,  - - - • - 30  grains. 

Podophyllin,  ------  10  “ 

Mix  well,  working  in  as  much  pulverized  Rhubarb  as  possible, 
and  make  into  thirty  pills.  Dos'e,  two  or  three  pills  twice  a day 
until  they  operate  on  the  bowels,  then  one  pill  twice  a day. 


HOMEOPATHIC. 

During  the  first  stage,  Nitrate  of  Silver  in  the  proportion  of  two 
or  three  grains  to  an  ounce  of  water,  or  Sulphate  of  Zinc  in  tho 


342 


OUR  FAMILY  PHYSICIAN. 


proportion  of  four  grains  to  an  ounce  of  water,  used  as  an  injec- 
tion, will  cut  short  an  attack.  The  patient  should,  at  the  same 
time,  observe  strict  temperance  and  quiet.  Aconite  may  be  given 
at  the  same  time,  a dose  every  two  or  three  hours 

Cantharides  or  Cannabis  may  be  given  in  alternation  with 
Aconite. 

Infusion  of  Hydrastis  Canadensis  is  recommended  as  an  injection, 
in  the  proportion  of  an  ounce  of  the  powdered  root  to  a pint  of 
water.  It  should  be  thrown  into  the  urethra  with  a syringe  every 

night. 

Cantharis  may  be  given  when  the  inflammation  has  extended  to 
the  bladder,  and  there  is  scalding  and  burning  along  the  passage, 
with  frequent  urging  to  urinate.  It  may  be  given  in  alternation 
with  Aconite. 

The  Chlorate  of  Potash  is  recommended  to  be  used  as  an  injec- 
tion. Dissolve  one  drachm,  in  an  ounce  of  water,  and  give  an 
injection  every  hour  for  twelve  hours.  This  will  be  effectual  in 
most  cases. 

Other  internal  remedies  are  Mercurius,  Nux  Yomica,  Cubebs, 
Pulsatilla,  Copaiva,  Sulphur. 

Administration  of  Remedies . — Of  the  remedy  selected,  give  six 
globules  every  two,  three,  or  four  hours. 

ALLOPATHIC. 

At  the  commencement  of  the  disease,  an  injection  of  Nitrate 
$f  Silver,  in  the  proportion  of  five  or  ten  grains  to  an  ounce  of 
water,  should  be  used.  This  will  generally  cut  it  short.  Epsom 
Salts  should  be  taken  to  open  the  bowels,  and  the  patient  should 
drink  freely  of  Flax  seed  tea.  If  the  disease  still  continues,  the 
following  may  be  used  : 


Balsam  Copaiva, 

Oil  of  Cubebs,  - 
Laudanum,  - 
Mucilage  of  Gum  Arabia,  - 
Sweet  Spirits  of  Nitre,  - 
Compound  Spirits  of  Lavender, 
Camphor  Water,  - 
White  Sugar, 

Oil  of  Partridge  Berry, 


1 ounce. 

2 drachms 

1 drachm. 

2 ounces. 
•J-  ounce. 

3 drachms 

4 ounces. 

2 drachms, 

5 drops. 


Mix.  Dose,  a tablespoonful  three  or  four  times  a day. 


The  following  injection  is  valuable : 


GENERAL  DISEASES. 


343 


Balsam  Copaiva,  .....  5 drachms. 

Gum  of  Extract  of  Opium,  - - - 1 grain. 

Water, 7 ounces. 

1 he  yolk  of  one  egg. 

Mix,  and  inject  several  times  a day. 

For  Chordee,  take  at  bedtime  a pill  of  Camphor  and  Belladonna, 
in  ths  proportion  of  five  grains  of  the  former,  to  half  a rr&in  ©f 
the  latter. 

Gleet  should  be  treated  with  injections  of  the  following: 

Nitrate  of  Silver, 1 to  4 grains. 

Water, 1 ounce. 

Sulphate  of  Zinc. 8 grains. 

Tannin, 1 scruple 

Water, B ounce*. 

Mix. 


SECTION  II.  — DISEASES  OF  WOMEN. 


uhaPTER  I.  — menstruation. 

BEFORE  entering  upon  the  description  and  treatment  of  the 
disorders  of  menstruation,  it  is  but  proper  that  I should  en- 
deavor to  make  clear,  1st,  of  what  does  menstruation  consist : 2nd, 
of  the  causes  which  produce  it : 3rd,  of  what  are  its  uses  in  the  sys- 
tem of  the  female.  There  is  probably  no  function  of  woman  which 
is  so  little  understood  by  woman  herself,  as  this.  She  can  tell  you 
that  she  has  this  discharge  about  every  twenty-eight  days,  how  long 
it  lasts,  and  predict  exactly  when  it  will  again  appear  ; but  why  it 
appears  most  women  are  unable  to  state.  This  cannot  be  wondered 
at  when  we  consider  the  short  time  which  has  elapsed  since  this 
function  was  clearly  understood  even  by  medical  men.  From  the 
earliest  ages  to  the  present  time,  there  have  been  numberless 
theories  advanced  ; but  each,  one  after  the  other,  has  fallen  to  the 
ground  by  its  own  dead  weight,  until  at  last  the  undoubtedly 
correct  theory  has  been  reached.  Among  the  ancients  there  were 
many  superstitious  notions  in  regard  to  it.  From  its  recurring 
with  such  wonderful  regularity  once  a month,  it  was  supposed  that 
it  was  governed  by  the  changes  of  the  moon,  but  any  one  by  ob- 
servation can  see  the  fallacy  of  this  idea,  for  there  is  not  an 
hour  in  the  year  that  women  are  not  in  one  or  another  stage  of  the 
term.  If  this  was  affected  by  the  moon,  women  would  all  be 
“ unwell  ” at  the  same  time.  I am  indebted  to  Prof,  C.  I).  Meigs, 


DISEASES  OF  WOMEN. 


345 


of*  Philadelphia,  for  the  material  of  this  article,  for  to  him  is  due 
the  credit  of  demonstrating  the  causes  of  this  wonderful  function, 
in  a more  clear  and  reliable  manner  than  has  ever  been  done  before. 

11  Omne  vivum  ex  ovo,”  (every  living  thing  comes  from  an  egg 
or  germ)  is  the  universal  law  of  reproduction.  This  can  be  shown 
as  well  in  the  vegetable  as  the  animal  kingdom.  The  sturdy  oak 
from  the  acorn,  the  ear  of  corn  from  the  grain  planted  by  the 
farmer,  the  robin,  and  the  elephant,  all  springing  from  germs,  go  to 
prove  the  truthfulness  of  this  law.  Every  seed,  every  egg  con- 
tains a germ,  which,  when  brought  under  proper  influences,  will 
produce  of  its  own  kind.  Thus  far  all  is  plain  enough,  but  where 
do  these  germs  originate  ? It  has  been  ascertained  'that  each 
animal,  as  well  as  each  plant,  is  provided  with  an  organ  for  the 
production  and  throwing  off  of  these  cells  or  germs.  In  the 
female  this  organ  is  the  ovary.  The  ovaries  are  two  in  number, 
small,  oval  bodies,  about  one  inch  in  length,  a little  more  than  half 
an  inch  in  breadth,  and  a third  of  an  inch  in  thickness.  This 
measurement  will  differ  in  some  cases,  but  will  be  found  generally 
correct.  Each  ovary  is  attached  to  an  angle  of  the  womb,  about 
one  inch  from  its  upper  portion,  by  a ligament.  The  sole  physio- 
logical function  or  duty  of  the  ovary,  is  to  mature  and  deposit  its 
ova  or  eggs  every  twenty-eighth  day,  from  the  age  of  fifteen  to 
that  of  forty-five,  or  for  about  thirty  years.  This  function  is  sus- 
pended only  during  pregnancy  and  nursing,  but  sometimes  not  even 
then.  There  are  numerous  cases  on  record  where  the  woman  has 
had  her  courses  regularly  during  the  time  she  was  pregnant,  and 
there  are  many  with  whom  lactation  does  not  at  all  interfere. 
During  the  maturation  or  ripening,  and  discharging  of  the  ovum 
into  the  canal  or  tube  which  conveys  it  into  the  womb,  the  genera- 
tive organs  become  very  much  congested,  looking  almost  as  if 
inflamed.  This  congestion  at  last  reaches  such  a height,  that  it 
overflows  as  it  were,  and  produces  a discharge  of  bloody  fluid  from 
the  genitalia  or  birth-place.  As  soon  as  the  flow  commences  the 
heat  and  aching  in  the  region  of  the  ovaries,  and  the  weight  and 
dragging  sensation,  diminish  and  gradually  disappear.  Thus  you 


346 


OUR  FAMILY  PHYSICIAN. 


will  see  that  menstruation  consists  merely  in  the  ripening  and  dis- 
charge of  an  ovum  or  egg,  which,  when  not  impregnated,  is  washed 
away  by  the  menstrual  fluid  or  blood,  poured  out  from  the  vessels  on 
the  inner  surface  of  the  womb.  It  will  also  be  seen  that  a woman 
can  become  pregnant  only  at  or  near  the  time  of  her  menses.  The 
marvellous  regularity  of  menstruation  has  always  excited  great 
wonder,  but  why  should  it?  When  we  look  around,  we  see  that 
both  animal  and  vegetable  life  have  stated  and  regular  times  at 
which  germ  production  takes  place.  Fruits  and  vegetables  ripen, 
and  animals  produce  their  young  at  certain  periods.  It  is  a law  oi 
nature,  and  why  should  not  woman' obey  it,  in  her  monthly  term. 
Now  since  we  have  shown  that  menstruation  consists  in  the  ripen 
ing,  and  regular  deposit  of  an  egg  — the  flow  being  but  the  outward 
visible  sign  of  such  an  act  — it  is  possible  that  a woman  may 
menstruate  regularly  without  having  any  show.  To  prove  this, 
there  are  many  cases  on  record  where  a woman  has  married,  and 
become  pregnant  without  having  had  the  least  show,  which  would 
be  impossible  if  she  did  not  menstruate.  Again,  a woman  who  has 
always  been  regular,  may  have  several  children,  without  in  the 
meantime  having  had  any  sign.  This  may  be  explained  by  her 
becoming  pregnant  during  the  time  she  was  nursing  her  first  child, 
carrying  it  to  the  full  term,  again  becoming  pregnant,  and  so  on, 
until  being  no  longer  impregnated,  her  courses  return,  and  are 
regular  thereafter.  As  has  been  before  remarked,  menstruation 
commences  at  about  the  age  of  fourteen  or  fifteen  in  this  country. 
In  warmer  climates  it  appears  earlier,  and  in  odder  ones,  later. 
Menstruation,  menses,  courses,  catamenia,  monthly  periods,  and 
“ being  unwell,”  are  some  of  the  terms  by  which  this  function  is 
designated.  Those  who  are  brought  up  and  live  luxuriously,  and 
whose  moral  and  physical  training  has  been  such  as  to  make  their 
nervous  systems  more  susceptible,  have  their  courses  at  a much 
earlier  period  than  those  who  have  been  accustomed  to  coarse  food 
and  laborious  employment.  The  appearance  of  the  menses  before 
the  fourteenth  year  is  regarded  as  unfortunate,  indicating  a pre- 
mature development  of  the  organs  ; while  their  postponement  until 


Diseases  of  Women. 


34? 


after  the  sixteenth  year,  is  generally  an  evidence  of  weakness,  or 
of  some  disorder  of  the  generative  apparatus.  If,  however,  the 
person  has  good  health,  and  all  her  other  functions  are  regular  ; if 
her  spirits  are  not  clouded,  nor  her  mind  dull  and  weak,  it  should 
not  he  considered  necessary  to  interfere  to  bring  them  on,  for  ir- 
reparable injury  may  be  done.  The  first  appearance  of  the  menses 
is  generally  preceded  by  the  following  symptoms : Headache, 

heaviness,  languor,  pains  in  the  back,  loins,  and  down  the  thighs, 
and  an  indisposition  to  exertion.  There  is  a peculiar  dark  tint  of 
the  countenance,  particularly  under  the  eyes,  and  occasionally 
uneasiness  and  a sense  of  constriction  in  the  throat.  The  per- 
spiration has  often  a faint  or  sickly  odor,  and  the  smell  of  the 
breath  is  peculiar.  The  breasts  are  enlarged  and  tender.  The 
appetite  is  fastidious  and  capricious,  and  digestion  is  impaired. 
These  symptoms  continue  one,  two  or  three  days,  and  subside  as 
the  menses  appear.  The  menses  continues  three,  five  or  seven 
days,  according  to  the  peculiar  constitution  of  the  woman.  The 
quantity  discharged  varies  in  different  individuals.  Some  are 
obliged  to  make  but  one  change  during  the  period,  but  they  gener- 
ally average  from  ten  to  fifteen.  At  about  the  age  of  forty-five 
the  final  cessation  of  menstruation  takes  place,  and  this  period 
often  excites  the  fears  of  the  females.  Sometimes  the  symptoms 
are  mistaken  for  those  of  pregnancy  — such  as  sickness  at  the 
stomach,  capricious  appetite,  swelling  and  pain  in  the  breasts. 
The  change  is  generally  gradual.  The  discharge  may  return  every 
two  or  three  weeks,  then  cease  for  two  or  more  months,  return 
again  for  several  months  as  regular  as  ever,  and  finally  disappear 
altogether.  It  is  during  the  menstrual  period  that  the  system, 
especially  of  young  persons,  is  more  susceptible  to  both  mental 
and  physical  influences.  Very  much  depends  upon  the  regular 
and  healthy  action  of  the  discharge,  for  to  it  woman  owes  her 
beauty  and  perfection.  Great  care  should  therefore  be  used  to 
guard  against  any  influences  that  may  tend  to  derange  the  menses. 
A sudden  suppression  is  always  dangerous,  and  among  the  causes 
which  may  produce  it  may  be  mentioned  — “ sudden  frights,  fits  of 


348 


OtJR  FAMILY  PHYSICIAN. 


anger,  great  anxiety,  and  powerful  mental  emotions.  Excessive 
exertions  of  every  kind,  long  walks  or  rides,  especially  over  rough 
roads,  dancing,  frequent  running  up  and  down  stairs,  have  a tend- 
ency not  only  to  increase  the  discharge,  but  also  to  produce  falling 
of  the  womb.”  Patent  medicines  and  nostrums  which  are  recom- 
mended for  female  complaints,  purgatives,  emetics,  and  liquors, 
may  either  increase  or  arrest  the  discharge.  Cold  and  hot  baths, 
foot  baths,  wetting  the  feet  by  the  wearing  of  thin  shoes,  are  also 
very  injurious  during  this  period.  A young  lady  anxious  to  attend 
a party  or  ball  while  she  is  “ unwell,”  will  take  a hip  bath  to  ar- 
rest the  discharge,  but  what  a train  of  horrors  follows  such  an 
insane  act,  and  still  there  are  many  foolish  enough  to  do  this. 
During  the  menstrual  period  no  treatment  is  necessary,  unless 
some  of  the  various  derangements  of  menstruation  afflict  the 
female,  and  the  management  of  these  will  be  found  under  their 
proper  heads  in  the  pages  following. 


DISEASES  OF  WOMEN. 


349 


CHAPTER  II.  — DISORDERS  OF  MENSTRUATION. 

Delayed  and  Obstructed  Menstruation. 

WHEN  the  menses  do  not  appear  at  the  time  when  they  may 
naturally  be  expected,  we  call  it  delayed  or  obstructed  men- 
struation. It  is,  however,  of  great  importance  toknow  whether  a 
girl  is  sufficiently  developed  to  make  it  necessary  for  the  menses  to 
appear,  although  she  may  have  reached  the  proper  age.  As  long 
as  the  girl  has  not  increased  physically,  if  she  has  not  become 
wider  across  the  hips,  if  her  breasts  have  not  become  enlarged, 
and  if  she  experience  none  of  the  changes  incident  to  this  period, 
an  effort  to  force  nature  is  positively  injurious.  In  this  case  a 
general  treatment  will  be  called  for.  She  should  be  required  to 
exercise  freely  in  the  open  air,  retire  early  to  bed,  and  arise  at 
an  early  hour  in  the  morning.  She  should  not  be  allowed  to  be 
closely  confined  at  school,  if  attending.  .Her  diet  should  be  gen- 
erous, but  free  from  all  rich  food,  which  will  disorder  the  stomach. 
If,  however,  she  is  fully  developed,  and  she  suffers  from  time  to 
time  from  congestions  of  the  head,  breast,  or  abdomen,  it  will  be 
necessary  to  interfere.  The  following  are  the  symptoms  which 
will  generally  be  found  present  in  these  cases : 

Symptoms.  — Headache,  weight,  fullness,  and  throbbing  in  the 
centre  of  the  cranium,  and  in  the  back  part  of  the  head  ; pains  in 
the  back  and  loins  ; cold  feet  and  hands,  becoming  sometimes  very 
hot ; skin  harsh  and  dry  ; slow  pulse,  and  not  unfrequently  at- 
tended with  epilepsy. 

treatment.  — homeopathic. 

It  is  well  for  the  patient,  a few  days  before  the  period,  to  take  a 
warm  hip  or  foot  bath  twice  a day,  and  at  night  wThen  retiring  to 
apply  cloths  wet  in  warm  water  to  the  lower  part  of  the  abdomen 
excellent  prescription,  recommended  by  Prof.  Cooke,  oi 


350 


OUR  FAMILY  PHYSICIAN. 


Hahnemann  Medical  College,  Chicago,  is  as  follows:  About  two 
weeks  before  the  period,  take  a dose  of  Gelseminum  every  day  at 
night,  and  a dose  of  Belladonna  in  the  morning.  At  the  time  for 
the  menses,  if  there  is  much  pain,  take  these  two  remedies  alter- 
nately (turn  about)  every  two  or  four  hours. 

Pulsatilla — If  the  patient  is  melancholy  and  sad,  and  inclined 
to  weep  ; paleness  with  flashes  of  heat ; loss  of  appetite,  with 
desire  for  acids  ; nausea  and  vomiting. 

Bryonia — If  there  is  congestion  of  the  head  ; flushed  face, 
frequent  nose  bleeding,  constipation  ; palpitation  of  the  heart. 

Lycopodium  is  suitable  for  similar  symptoms. 

Phosphorus — If  the  patient  is  predisposed  to  lung  disease,  weak 
chest,  cough,  pain  in  chest,  spitting  of  blood. 

Arsenicum — If  she  has  dropsical  swellings  about  the  eyes,  or  of 
the  feet  or  limbs,  pale  complexion,  chlorotic. 

Sulphur — If  the  preceding  remedies  fail. 

Administration  of  Remedies  — Give  a dose  (six  globules)  every 
morning  of  either  of  the  above  remedies  for  a week  or  ten  days. 
If  better,  discontinue  four  days,  and  give  sulphur  every  morning 
for  a week. 

ALLOPATHIC. 

The  water  should  be  used  the  same  as  in  the  Homoepathic  treat- 
ment. The  bowels  should  be  kept  open,  by  some  mild  cathartic  as 
castor  oil,  or  a pill  of  Aloes.  If  there  is  pain  and  fullness  of  the 
head  during  the  discharge,  or  before  it,  use  the  following : 

Tincture  of  Aconite  Leaves,  - - -2  drachms. 

u u Belladonna,  J drachm. 

“ “ Cantharides,  - - - - 1 “ 

Morphia, 2 grains. 

Simple  Syrup, 4 ounces. 

Dose  — one  teaspoonful  three  times  a day.  If  the  pain  is  severe 
it  may  be  taken  every  two  hours. 

Between  the  periods,  if  the  system  is  weak,  the  following  may 
be  taken  : 

Precip.  Carbonate  of  Iron,  - - - 5 drachms. 

Extract  Conium, 2 “ 

Balsam  Peru 1 drachm. 

Alcohol, 4 ounces. 

Oil  Wintergreen,  - - - - 20  drops. 

Simple  Syrup, 8 ounces. 

Dose,  two  teaspoonfuls  three  times  a day.  Shake  the  mixture 
before  usin^. 


DISEASES  OF  WOMEN. 


351 


Or, 

Syrup  of  Orange  peel,  - - • • -1  ounce. 

Rose  Water, 7 ounces. 

Muriated  Tincture  of  Iron,  ....  1 ounce. 

Mix  Dose,  one  teaspoonful  in  half  a glass  of  water  three  times 
a day. 

ECLECTIC  AND  HERBAL. 

If  the  patient  is  of  full  habit  give  an  occasional  dose  of  the 
Compound  Powder  of  Leptandrin.  If,  however,  she  is  weak  and 
nervous,  keep  the  bowels  regular  with  the  following : 

Powdered  Rhubarb,  - - - - l-£  ounces. 

Bicarbonate  of  Potassa,  ....  1 ounce. 

Of  this  give  a small  dose  three  times  a day,  sufficient  to  keep 
the  bowels  well  open.  As  a tonic,  use  the  Compound  Wine  of 
Comfrey.  At  the  time  for  the  menses,  and  if  there  be  headache, 
pains  in  the  back  and  loins,  give  warm  teas  of  Pennyroyal,  Tansy, 
Black  Cohosh,  or  Rue.  A warm  poultice  of  Hops  and  Tansy  ap- 
plied to  the  abdomen,  will  sometimes  relieve  the  pain.  If,  although 
the  health  is  improved  by  the  above  means,  the  menses  still  do  not 
appear,  give  one  of  the  following : 

Caulophyllin,  - - - - - 10  grains. 

Aletridin, 8 “ 

Extract  of  Belladonna, 1 grain. 

Mix,  and  divide  into  ten  pills,  of  which  take  a pill  three  times 
a day. 

Or, 

Carbonate  of  Iron, 7 grains. 

Cimicifugin,  ------  3 “ 

Podophyllin, 1 grain. 

White  Turpentine  sufficient  to  make  into  a pill  mass.  Divide 
into  four  pills,  and  take  a pill  three  times  a day. 

Equal  parts  of  Oils  of  Savin  and  Tansy  may  be  used  with  good 
effect.  Give  five  or  ten  drops  of  the  mixture  twice  a day,  begin- 
ning a week  before  the  time  for  the  menses  to  appear. 

Chlorosis  or  Green  Sickness. 

This  disease  generally  occurs  in  young  unmarried  females,  who 
are  weak  and  delicate.  It  manifests  itself  about  the  age  of  pu* 
berty,  and  is  accompanied  by  feeble  appetite,  and  digestion. 
There  is  no  menstrual  discharge,  or  else  it  is  very  slight. 

Causes.  — Such  a^s  derange  the  vital  functions,  as  unnutritious 


352 


OUR  FAMILY  PHYSICIAN. 


food,  residence  in  damp  and  ill-ventilated  apartments.  It  may  be 
hereditary,  all  the  females  of  the  family  being  liable  to  the  same 
disease.  Those  who  drink  largely  of  tea,  coffee,  diluted  acids,  bad 
wines,  and  indulge  in  tight  lacing,  are  predisposed  to  this  disease. 
Among  the  exciting  causes  may  be  mentioned  disturbing  emotions, 
unrequited  love,  home  sickness,  depression  of  spirits,  &c. 

Symftoms.  — The  symptoms  characterizing  this  disease  do  not 
manifest  themselves  all  at  once,  but  gradually,  insidiously,  and 
almost  insensibly  come  upon  the  patient.  She  usually  first  com- 
plains of  general  lassitude,  a*nd  an  aversion  to  physical  or  mental 
labor  of  any  kind.  There  is  a peculiar  color  of  the  skin,  not  ex- 
cessively white,  but  a paleness,  mixed  with  yellow  and  greenish 
tinges.  The  lips  at  times  are  almost  white,  the  eyelids  livid  and 
swollen.  The  skin  feels  cold  to  the  touch.  The  gums  become 
pale,  and  the  tongue  is  generally  coated  white,  and  there  is  a 
pasty  taste  in  the  mouth  in  the  morning.  The  breath  is  offensive. 
The  patient  appears  weak,  and  tires  very  soon  after  slight  exertion. 
She  breathes  hurriedly,  not  from  any  disease  of  the  lungs,  but  be- 
cause she  has  not  sufficient  strength  to  expand  the  chest  to  its  full 
capacity.  The  sleep  is  disturbed  and  unrefreshing.  The  bowels 
are  constipated,  and  sometimes  there  is  nausea  and  vomiting.  The 
pulse  is  small  and  frequent.  She  is  sad,  subject  to  fits  of  weeping, 
and  prefers  to  be  alone.  The  appetite  is  diminished,  and  dyspeptic 
symptoms,  as  heartburn,  sour  stomach,  pain  in  the  stomach  with 
nausea,  show  themselves.  She  craves  indigestable  substances,  as 
slate  pencils,  chalk,  charcoal,  etc.  Excessive  constipation  is  fol 
lowed  by  diarrhoea  of  badly  digested  substances.  As  the  affection 
proceeds,  the  lower  extremities  become  swollen,  hectic  cough  sets 
in,  sometimes  attended  with  spitting  of  clots  of  blood.  The  ab- 
domen becomes  tense  and  swollen,  and  so  much  so  sometimes,  that 
the  patient  may  be  accused  of  being  pregnant.  The  menses,  if 
they  have  appeared,  gradually  become  scanty,  and  are  attended 
with  great  pain  ; they  continue  but  a short  time,  are  pale  and 
watery,  and  finally  cease  altogether.  There  is  sometimes  severe 
j?ain  through  the  left  breast,  or  the  chest.  In  some  cases  nerves 


DISEASES  OF  WOMEN. 


353 


symptoms,  as  hysterical  fits,  spasms,  etc.,  manifest  themselves 
Chlorosis  may  be  mistaken  for  disease  of  the  heart,  or  consumption. 
I have  given  here  a full  description  of  the  disease,  so  that  it  may 
be  recognized  from  the  start.  All  of  the  above  symptoms  are  not 
present  in  every  case,  but  you  will  frequently  find  a majority  of 
them. 


GENERAL  TREATMENT. 


If  we  take  into  consideration  the  fact  that  the  cause  of  the  dis- 
ease is  impoverishment  of  the  blood,  the  treatment  will  not  be 
difficult.  Exercise  freely  in  the  open  air  ; protect  the  body  from 
chilliness  by  warm  clothing,  and  plenty  of  it.  The  patient  should 
sleep  on  a mattrass,  in  a well  ventilated  room.  The  diet  should 
oe  nourishing,  without  being  stimulating.  It  is  important  that  the 
nabits  should  be  regular,  and  the  mind  kept  cheerful  by  society  and 
innocent  amusements.  Before  the  medical  treatment  is  commenced, 
the  exciting  causes  of  the  disease  must  be  removed.  A complete 
change  must  be  made  in  the  existence  of  the  patient.  If  she  is 
confined  closely  at  school,  she  must  be  removed;  if  she  is  inclined 
to  confine  herself  to  the  house,  send  her  to  the  country.  Picture 
to  her  the  danger  she  is  in,  by  the  continuance  of  such  a life ; give 
her  plenty  of  out-door  exercise.  The  mental  and  moral  causes  are 
the  most  difficult  to  remove,  but  a change  of  scenery  and  new 
friends  will  do  much  towards  7*i.  For  those  who  are  shut  up  in 
factories,  or  who  work  all  day  m a stooping  position,  a change  ef 
employment  must  be  made.  A bath  of  tepid  water  in  the  morning 
followed  by  a brisk  rubbing  will  be  beneficial.  Also  the  frequent 
use"of  the  sitting  bath,  and  the  sponge  bath  in  the  evening.  Active 
exercise  should  precede  and  follow  all  baths.  During  menstruation 
all  applications  of  water  should  be  omitted. 

ALLOPATHIC. 


The  following  receipes  are  recommended  by  Dr.  Pancoast,  of 
Philadelphia.  They  are  to  be  taken  on  alternate  days  ; that  is, 
take  No.  1 on  one  day,  No.  2 the  next  day,  and  so  on  : 

No.  1.  — Precip.  Carbonate  of  Iron  - - - 5 drachms. 

Extract  of  Conium,  2 u 

Balsam  Peru,  - - - - 1 drachm. 

Oil  Cinnamon,  -----  20  drops. 

Simple  Syrup,  - - - - 8 ounces. 

Pulverized  gum  Arabic,  - - - 2 drachms. 

Mix.  Dose,  two  teaspoonfuls  three  times  a day,  every  other  u*y 
niter  meals.  Shake  before  using. 

23 


354 


OUR  FAMILY  PHYSICIAN. 


No.  2 — Tincture  of  Nux  Yomica,  • - - 1 drachm. 

Syrup  Iodide  of  Iron,  1 ounce. 

Simple  Syrup,  - - - - 4 ounces. 

Mix.  Dose,  one  teaspoonful  three  times  a day,  every  other  day, 
in  water  after  meals.  Another  treatment  is  as  follows  : 


Clear  the  bowels  with  the  following  mixture  : 
Sulphate  of  Magnesia,  - 
Nitrate  of  Potash,  - 
Extract  of  Liquorice,  - 
Compound  Infusion  of  Senna, 

Tincture  of  Jalap,  .... 
Spirit  of  Sal  Volatile,  .... 


1 ounce. 

10  grains. 

1 scruple. 
5-J-  ounces. 
3 drachms. 
1 drachm. 


Mix.  Dose,  two  or  three  tablespoonfuls  at  a time,  at  intervals 
of  two  hours,  until  an  effect  is  produced. 

This  is  to  be  followed  by  Sulphate  of  Iron,  5 grains ; Extract  of 
Gentian,  10  grains. 

Make  into  three  pills,  and  take  a pill  twice  a day,  with  the  com- 
pound Aloes  or  Khubarb  pill  every  night. 


HOMEOPATHIC. 


Pulsatilla . — For  females  of  a mild  and  easy  disposition,  who  are 
given  to  sadness  and  tears,  or  if  cold  and  exposure  were  the  causes 
of  the  disease.  The  following  symptoms  particularly  indicate  this 
remedy  : sallow  complexion,  alternating  with  redness  and  Hushes 
of  heat,  palpitation  of  the  heart;  cold  feet  and  hands;  difficulty  of 
breathing,  with  a sense  of  suffocation  after  any  exertion  ; looseness 
of  the  bowels,  nausea  and  vomiting;  swelling  of  the  feet;  chilliness  ; 
buzzing  in  the  ears,  and  neuralgic  pains  of  the  face  ; acrid,  burning 
leucorrhoea. 

Bryonia.  — May  be  given  in  alternation  (turn  about)  with  Pul- 
satilla, when  there  is  frequent  congestion  of  the  chest;  constipa- 
tion ; bleeding  from  the  nose  ; flushes  of  heat  with  chilliness  ; cough 
with  spitting  of  clots  of  dark  blood;  pain  in  the  small  of  the  back. 

Ferrum . — When  there  is  great  debility  ; want  of  appetite  ; nau- 
sea and  hectic  cough  ; dropsical  swellings  about  the  eyes  ; extreme 
sallowness  of  the  skin  ; the  lips  are  almost  bloodless  ; difficulty  of 
breathing  ; want  of  vital  heat. 

Sulphur . — For  obstinate  cases,  especially  when  the  above  reme- 
dies have  not  afforded  relief,  although  apparently  indicated  : throb- 
bing pains  in  the  head  ; humming  in  the  ears  ; constant  drowsiness 
in  the  daytime  ; voracious  appetite  ; rising  of  wind  or  sour  sub- 
stances from  the  stomach  ; emaciation  ; constipation  of  the  bowels 
with  hard  stool ; great  depression  after  talking  ; difficulty  of  breath- 
ing, with  oppression  of  the  chest. 


DISEASES  OF  WOMEN. 


355 


Calcarea  Carb.  — Suitable  after  Sulphur,  especially  when  the 
emaciation  is  very  great,  and  there  is  great  difficulty  of  breathing. 

China  and  Carbo  Veg.  — A dose,  alternately,  every  evening  for 
five  or  six  weeks,  when  the  disease  occurs  after  severe  sickness,  or 
after  hemorrhages. 

Administration  of  Remedies.  — Of  the  remedy  chosen,  give  five  or 
six  globules,  dry,  once  in  four  hours.  If  improvement  sets  in, 
lengthen  the  intervals  to  twelve  hours,  or  two  or  three  days. 

Diet.  — The  diet  should  be  perfectly  plain  and  nutritious.  Avoid 
all  stimulants  and  highly  seasoned  food.  Coffee,  green  tea  and 
liquors  should  be  forbidden. 

ECLECTIC  AND  HERBAL. 

To  keep  the  bowels  open  the  compound  Pill  of  Leptandrin 
should  be  used,  two  to  be  given  every  night.  If  this  does  not  affect 
the  bowels,  add  one-twentieth  of  a grain  of  Nux  Vomica  to  each 
pill.  If  there  is  a sour  condition  of  the  stomach,  give  the  Carbon- 
ate of  Soda,  or  Potassa,  or  Magnesia,  with  teas  of  Golden  Seal, 
Quassia,  etc.  For  enriching  the  blood  give  one  of  the  following 
preparations : 

Carbonate  of  Iron, 5 drachms. 

Assafetida, scruples. 

Podophyllin,  - - - - - - 8 grains. 

Mix,  and  make  into  twenty-four  powders,  of  which  take  a powder 
three  times  a day. 

Or  this  : 

Tincture  of  Myrrh,  Tincture  of  Aloes,  each  one  and  a-half 
ounces  ; Tincture  of  Blood  Root,  Muriated  Tincture  of  Iron,  each 
one  ounce.  Mix,  and  take  a teaspoonful  three  times  a day. 

Or  the  following  pills : 

Sulphate  of  Iron  (to  be  powdered,  and  exposed  to 

the  air  until  it  becomes  dry  and  white)  • - 1 drachm. 

Quinine,  .......  30  grains. 

Gum  Myrrh, 30  “ 

Podophyllin, 20  “ 

Make  into  60  pills  with  Extract  of  Gentian,  and  take  a pill  nig/P 
and  morning. 

The  compound  pills  of  Ferrocyanuret  of  Iron  are  also  recom- 
mended. Take  night  and  morning.  It  is  a good  plan  to  use  one 
of  these  preparations  for  a few  weeks,  and  then  change  to  another 


356 


OUR  FAMILY  PHYSICIAN. 


Profuse  Me  nstruation  — Menorrhagia. 


By  Menorrhagia  we  understand  an  immoderate  flow  of  the  men- 
ses. There  is  no  fixed  amount  of  blood  which  is  lost  at  the  men- 
strual period,  but  it  varies  in  different  women.  It  will  average, 
however,  from  four  to  eight  ounces.  The  quantity  discharged  may 
be  estimated  by  the  number  of  napkins  used.  Each  napkin  will 
contain  about  half  an  ounce,  or  one  tablespoonful,  so  that  eight 
napkins  would  contain  four  ounces;  twenty,  ten  ounces,  etc. 

Causes. — Some  females  are  predisposed  to  uterine  hemorrhages, 
from  a relaxed,  or  flabby  state  of  the  texture  of  the  uterus.  Fre- 
quent child-bearing,  abortion,  high  living,  too  prolonged  and  fre- 
quent suckling,  may  induce  flooding.  Among  the  exciting  causes 
we  may  mention,  over-exertion,  dancing,  falls,  lifting  heavy  weights, 
cold,  and  mental  excitements. 

Symptoms. — Exhaustion  of  the  bodily  powers;  weakness  and 
pain  in  the  back,  extending  to  the  hips,  and  across  the  loins ; sallow 
and  sunken  features  ; headache  with  throbbing  of  the  temples  ; pain 
in  the  left  side,  stomach,  and  bowels;  sometimes  diarrhoea,  with 
great  nervous  debility. 


GENERAL  TREATMENT. 


The  patient  must  lie  down  on  a hard  bed,  and  abstain  from  all 
stimulating  food  and  drinks.  The  room  should  be  cool,  and  she 
should  be  lightly  covered  with  bed  clothes.  Soak  the  feet  in  waim 
water,  and  if  the  flowing  is  excessive,  apply  cloths,  wrung  out  in 
vinegar  and  water,  to  the  lower  bowels.  The  hips  must  be  elevated 
higher  than  the  head. 

Menorrhagia,  or  flooding,  proceeding  from  any  cause,  should  be 
treated  promptly,  as  serious  consequences  may  follow  its  continuance. 
In  this,  as  in  Dysmenorrhoea,  we  recommend  with  confidence  doses 
of  from  one  to  two  teaspoonfuls  of  Hayden’s  Viburnum  Compound, 
in  a little  hot  water,  repeated  as  often  as  the  urgency  of  the  case 
demands. 

ECLECTIC  AND  HERBAL. 

Take  equal  parts  of  powered  alum,  geraneum,  and  charcoal. 
Mix,  and  give  fifteen  grains  every  ten  or  twenty  minutes;  or  take 


DISEASES  op  women. 


35? 


a teaspoonful  each  of  nitre  and  alum  ; mix,  divide  into  six  powders, 
and  give  a powder  every  two  or  four  hours.  A tea  made  of  Cinna- 
mon bark,  or  Cinnamon  bark  and  Red  Raspberry  leaves,  and  drank 
freely  will  be  beneficial.  Equal  parts  of  Beth  Root,  Blue  Cohosh, 
and  Star  Root,  made  into  a tea,  and  half  an  ounce  of  this  compound 
to  a pint  of  boiling  water,  is  recommended  highly.  A pint  of  this 
may  be  taken  in  the  course  of  the  day.  At  the  same  time  take 
every  hour  or  two,  a powder  composed  of  cayenne  five  grains,  opi- 
um half  a grain,  ipecac  one  grain.  If  there  is  much  pain,  the  fol- 
lowing may  be  administered  every  two  or  three  hours : morphia, 
one  fourth  grain,  cayenne  four  grains,  rosin  four  grains  ; give  in 
blackberry  syrup.  The  tincture  of  muriate  of  iron,  in  doses  of  fif- 
teen drops,  every  half  hour,  hour,  or  more,  according  to  severity  of 
symptoms,  will  be  found  good  in  some  cases.  Give  in  half  a tea- 
cup of  water.  Between  the  periods,  to  prevent  a return  of  the 
flooding,  give  the  compound  wine  of  comfrey,  once  or  twice  a day, 
and  drink  freely  of  blackberry  root,  or  beth  root  tea. 

HOMEOPATHIC 

Ipecac.  — When  the  discharge  is  bright  red,  and  the  menses 
return  too  early.  It  may  be  followed  by  Sabina. 

Belladonna.  — When  the  menses  return  too  soon,  and  the.e  are 
bearing  down  pains,  with  severe  headache,  flushed  face  and  cold 
extremities. 

Crocus.  — This  is  an  important  remedy,  indicated  when  the  dis- 
charge consists  of  dark  colored  clots. 

Chamomilla. — When  the  discharge  is  dark  colored  and  accom- 
panied by  griping,  colicky  pains,  or  labor-like  pains  ; violent  thirst, 
headache,  with  clouded  sight,  and  humming  in  the  ears. 

Nux  Vomica.  — The  flow  commences  with  sudden  violent  gushes, 
stops  for  a short  time,  and  begins  again.  Spasms  in  the  abdomen, 
nausea,  vomiting,  fainting.  Sensation  of  heaviness,  with  pain  and 
soreness  as  from  a bruise. 

Calcarea  Carb.  — Good  in  obstinate  cases,  where  the  discharge 
has  continued  for  a long  time,  and  has  caused  general  constitu- 
tional disturbance.  Adapted  to  weak  and  relaxed  muscles,  and 
scrofulous  subjects. 

Secale.  — Great  flooding,  with  violent  cramp,  tingling  in  the  legs, 
cramps  and  coldness  of  the  extremities. 

Administration  of  Remedies.  — Of  the  selected  remedy,  dissolve 
twelve  globules,  in  twelve  teaspoonfuls  of  water,  and  take  a 
spoonful  every  half  hour,  or  one  or  two  hours,  according  to  the 
severity  of  the  symptoms. 


358 


OUR  FAMILY  PHYSICIAN, 


ALLOPATHIC. 

Acetate  of  Lead,  - - - - - 10  grains. 

Pulverized  Opium,  - 6 “ 

Make  into  ten  pills,  and  take  a pill  every  one  or  two  hours  until 
the  discharge  diminishes.  The  following  will  be  found  very 
successful : 


Oil  Cinnamon,  - - - - - - 2 drachms. 

Oil  Erigeron,  ------  2 “ 

Pulverized  Gum  Arabic,  - - - - 1 drachm. 

Water,  -------  4 ounces. 

Dose,  one  or  two  teaspoonfuls  every  one,  two  or  three  hours,  in 
sweetened  water. 


If  the  patient  is  of  full  habit,  bleeding  from  the  loins  by  leeching 
or  cupping,  with  the  following: 

Gallic  Acid,  - 
Syrup  of  Red  Poppies,  - 
Mucilage  of  Gum  Arabic,  - 
Water,  ...... 

Dose,  a teaspoonful  every  three  or  four  hours. 

During  the  intervals  of  the  period,  the  system  must  be  toned 
with  some  preparation  of  iron.  One  of  the  best  is  as  follows  : 


20  grains. 

2 drachms. 
2 “ 

3-|  ounces. 


up 


Precipitated  Carbonate  of  Iron, 
Extract  Conium,  - 
Balsam  Peru,  - - - - 

Oil  Cinnamon, 

Simple  Syrup, 

Pulverized  Gum  Arabic. 


5 drachms. 
2 “ 

1 drachm. 
20  drops. 

8 ounces. 

2 drachms. 


Dose,  two  teaspoonfuls,  three  or  four  times  a day,  in  water 

Shake  before  using. 

The  following  is  highly  esteemed  : 

Ammonia  Citrate  of  Iron,  ...  2 drachms. 

Compound  Tincture  of  Cardamons,  - 2 u 

Infusion  of  Chiretta,  - 5^  ounces. 

Dose,  one  tablespoonful,  three  times  a day. 

Another  effectual  prescription  is  the  following,  recommended  by 
Prof  Meigs,  of  Philadelphia: 

Powdered  Alum,  - - - - 5 to  20  grains. 

Grated  Nutmeg,  -----  2 “ 

Make  into  a powder,  and  give  in  syrup  (made  of  white  sugar 
boiled  down)  every  hour. 


DISEASES  OF  WOMEN.  859 

Painful  Menstruation  — Menstrual  Colic  — Dysjienorrhcea. 

The  word  dysmenorrhcea  means  a difficult  monthly  flow,  and  is 
always  preceded  by  severe  pains  in  the  back  and  lower  part  of4  the 
abdomen. 

Causes. — Taking  cold  during  the  period;  fright,  violent  mental 
emotions  ; obstinate  constipation  ; sedentary  occupations  ; smallness 
of  the  mouth  and  neck  of  the  womb.  Females  subject  to  this  trouble 
are  generally  relieved  by  marriage. 

Symptoms. — Severe  bearing  down  pains  in  the  region  of  the 
uterus,  like  labor  pains  ; restlessness,  coldness,  flashes  of  heat,  with 
headache ; aching  in  the  small  of  the  back,  lower  part  of  abdomen, 
and  thighs  ; the  discharge  is  scanty,  and  contains  shreds  of  fibre 
and  clotted  blood. 

GENERAL  TREATMENT. 

Among  the  ailments  of  women  there  is  none  from  which  they 
suffer  more  frequently  and  more  severely  than  from  Dysmenorrhoea, 
nor  is  there  any  other  that  has  taxed  the  skill  of  the  physician  so 
much  to  relieve.  The  remedy  now  employed  with  the  greatest  suc- 
cess is  the  Viburnum  Compound  of  Dr.  Hayden,  which  is  prescribed 
and  recommended  by  more  physicians  than  any  other  preparation. 
It  is  agreeable  to  the  taste,  perfectly  safe,  free  from  all  opiates,  and 
may  be  obtained  in  any  quantity  of  any  respectable  druggist.  In 
cases  where  the  patient  suffers  greatly  at  the  monthly  periods  it  is 
well  to  commence  by  giving  teaspoonful  doses  of  the  Viburnum 
Compound  every  night  for  a week  previous  to  the  usual  time.  On 
the  appearance  of  the  catamenia  she  should  immediately  go  to  bed, 
and  cover  up  warmly.  Stimulating  food  and  drinks  should  be 
avoided.  Give  two-teaspoonful  doses  of  the  Viburnum  Compound 
every  half  hour,  in  a wine-glassful  of  hot  water,  sweetened,  and  con- 
tinue to  do  so  until  relief  is  obtained,  unless  the  stomach  rejects  it, 
in  which  case  the  dose  should  be  reduced  until  it  is  tolerated.  In 
very  severe  cases  and  spasms,  hot  applications  to  the  loins  and  infe- 
rior extremeties  are  valuable  aids  as  relaxants  and  for  keeping  up  a 
healthy  circulation.  Frequently,  after  taking  the  Viburnum  Com- 
pound, the  patient  will  sleep  soundly  for  several  hours  from  the  sud- 
den cessation  of  pain.  She  should  not  be  awakened  through  any 
fear  of  over-sleeping,  as  the  Viburnum  Compound  does  not  contain 
any  narcotics  whatever,  nor  does  it  leave  any  disagreeable  after- 
effects. It  may  be  given  to  a child,  if  necessary,  without  any  special 
caution. 


360 


OTJR  FAMILY  PHYSICIAN. 


HOMEOPATHIC. 

Belladonna. — When  the  pains  in  the  abdomen  are  as  if  the  parts 
were  clutched ; severe  pain  in  the  back  ; bearing  down  pains,  as  if 
the  parts  would  fall  out;  the  pains  come  on  before  the  menses  ap- 
pear, accompanied  with  a strong  tendency  of  blood  to  the  head  with 
headache ; frightful  visions,  red  and  puffed  face,  and  violent  thirst. 

Pulsatilla . — Spasms  in  the  abdomen,  with  discharge  of  clots  of 
dark  or  pale  blood  ; pressing  pain  in  the  abdomen  and  small  of  the 
back  and  sides;  nausea  and  vomiting;  frequent  urging  to  urinate, 
and  evacuate  the  bowels. 

Coffea.  — Great  nervous  excitement,  grinding  of  the  teeth, 
screaming;  distressing  colic  ; fullness  and  pressure  of  the  abdomen  ; 
coldness  of  the  body.  May  be  given  in  alternation  with  Pulsatilla. 

Chamomilla. — Pains  resembling  labor;  menses  too  profuse,  and 
too  soon,  attended  with  violent  abdominal  cramps. 

Nux  Vomica. — Cramps  in  the  womb,  writhing  pains  in  the  abdo- 
men, and  pains  in  the  back  as  if  it  were  broken ; forcing  pains,  and 
sickness  at  the  stomach  ; urging  to  urinate. 

Secale  Cornutum. — Tearing  and  cutting  colic,  with  profuse  and 
long  continued  flow ; pale  face,  cold  limbs,  and  cold  sweat. 

Veratrum. — Colic,  with  nausea  and  vomiting  ; nervous  headache  ; 
coldness  of  the  feet,  nose,  and  nands ; fainting  fits. 

ALLOPATHIC. 

The  following  is  highly  commended  : 

Tincture  of  Aconite  leaves,  ...  2 drachms. 

Sweet  Spirits  of  Nitre^  - - - ' - - 1 ounce. 

> Morphia,  - - - - - - 2 grains. 

Simple  Syrup,  ------  4 ounces. 

Pose,  one  teaspoonful  every  half  hour  until  relieved. 

The  following  is  recommended  by  Prof.  Meigs,  to  be  taken  a few 
days  before  the  period  : 

h Acetous  Tincture  of  Colchicum,  - - 3 drachms. 

Magnesia,  -------  1 drachm. 

Sulphate  of  Magnesia,  - 3 drachms, 

f Distilled  Mint,  or  Cinnamon  Water,  - - 4 ounces. 

Mix.  Dose,  a small  wine  glassful  every  two  or  three  hours,  until 
it  operates.  This  should  be  preceded,  the  night  before,  by  a small 
dose  of  blue  pill. 


DISEASES  OF  WOMEN. 


361 


ECLECTIC  AND  l Y r'BAL. 

Open  the  bowels  with  the  following : 

Pulverized  Aloes, 30  grains. 

Gamboge,  - - - - - - 30  “ 

Podophyllin,  ------  20  11 

Cayenne,  - - - - - - 10  u 

Make  into  30  pills  with  mucilage  of  Gum  Arabic,  and  take  three 
pills  at  a dose,  every  four  to  six  hours,  until  they  operate.  A hot 
poultice  or  fomentation  of  Hops,  Tansy  or  Boneset  may  be  applied 
to  the  abdomen.  At  the  same  time  take  the  following: 


Pulverized  Camphor,  ) , ...  25  trains 

Macrotin,  ] each’  ^grains. 

Ipecac,  ) 

Cayenne,  > each,  ------  12  grains. 

Opium,  ) 

Make  into  twenty-five  pills  with  Extract  of  Hyosciamus,  and 
take  a pill  every  two,  three  or  four  hours,  according  to  symptoms. 
A spirit  vapor  bath  will  be  found  excellent  in  some  cases.  The 
Tincture  of  Gelseminum  is  recommended  to  be  given  in  doses  of 
half  a teaspoonful  to  a teaspoonful,  every  half  hour,  or  oftener.  If 
the  pain  is  very  severe,  add  five  drops  of  the  Tincture  of  Aconite 
to  each  dose.  Between  the  interval  of  the  menses,  use  the  fol 
lowing: 

Camphor,  - 1 \ scruples. 

Sulphate  of  Quinine,  - - - - 35  grains. 

Extract  of  Stramonium,  20  “ 


Make  into  eighty  pills  with  Aletridin,  and  take  a pill  every  four 
or  five  hours. 


The  Compound  Syrup  of  Partridge  Berry  is  recommended  to  be 
used  for  a long  time,  in  some  severe  cases. 


Suppression  of  the  Menses,  ( Amenorrhaa .) 

By  suppression  is  meant  a disappearance  of  the  menses,  after 
they  have  become  established,  and  may  be  either  acute  or  chronic. 

Causes.  — Cold  caught  during  the  flow,  by  exposure  to  night  air, 
or  by  wetting  the  feet , fear,  shocks,  violent  mental  emotions, 
anxiety,  fevers,  and  other  acute  diseases.  Chronic  suppression 
may  be  either  a consequence  of  the  acute,  or  caused  by  delicate 


362 


OtJR  FAMILY  PHYSICIAN. 


health  ; also  from  disease.  the  ovaries,  or  womb.  It  may  also 
be  occasioned  by  an  import.  rate  hymen,  in  which  case  it  must  be 
cut  open  by  a physician 

Symptoms . — The  following  are  the  symptoms  generally  found  in 
amenorrhcea,  existing  with  a fully  developed  body  and  sexual  or- 
gans : Headache ; fever,  hot  skin,  quick  pulse,  thirst ; weight, 
fullness  and  throbbing  in  the  center  and  back  part  of  head  ; pains 
in  back  and  loins  ; cold  feet  and  hands.  Females  of  spare  habit, 
and  nervous  temperament,  are  liable  to  hysterical  fits,  and  even 
epilepsy.  The  symptoms  of  chronic  suppression  are,  failure  of  the 
general  health,  loss  of  appetite,  sallow  complexion  ; pain  in  the 
back  and  sides  ; constipation  ; headache. 


GENERAL  TREATMENT. 

When  the  suppression  is  caused  by  some  disease  in  the  system, 
that  disease  must  be  cured  before  the  menses  will  return.  Foi 
sudden  suppression,  use  the  warm  sitting  bath  or  foot  bath.  Ap- 
ply cloths  wet  in  warm  water  to  the  lower  part  of  the  abdomen, 
and  drink  freely  of  warm  water.  If  the  suppression  is  chronic,  and 
the  patient  is  delicate,  in  the  interval  between  the  menses,  use  the 
shower,  or  the  full  bath  of  cold  or  tepid  water,  rubbing  the  body 
briskly  with  a coarse  towel,  especially  around  the  abdomen,  loins, 
and  genital  organs. 


ALLOPATHIC. 

As  soon  as  the  discharge  has  ceased,  a warm  hip  bath  will  gener- 
ally bring  it  on.  If  there  is  much  inflammation  of  the  uterus  give 
the  following : 

Tincture  Aconite  leaves,  ...  - 2 drachms. 

Sweet  Spirits  of  Nitre,  ...  1 ounce. 

Simple  Syrup,  ------  3 ounces. 

Dose,  one  teaspoonful  every  two  or  three  hours. 

If  the  discharge  cannot  be  brought  on,  wait  until  the  next  pe- 
riod. A few  days  before  the  term,  the  bowels  should  be  freely 
opened,  and  kept  open  until  the  period  for  the  discharge  has  ar- 
rived. The  pill  of  Aloes  and  Iron  of  the  United  States  Dispensa- 
tory, is  one  of  the  best  that  can  be  given.  Give  from  one  to  three 
pills  daily.  If  there  is  no  evident  reason  for  the  discharge  not  ap 


DISEASES  OF  WOMEN. 


S63 


pearing,  such  as  pregnancy,  inflammation  of  the  neck  of  the  womb, 
and  the  woman  is  suffering  from  the  suppression,  use  the  following : 


Caulophyllin, 
Extract  Aconite, 

1 drachm. 

8 grains. 

Aloes,  .... 

10  “ 

Sulphate  of  Iron, 

10  “ 

Make  into  40  pills.  Dose,  two 
morning. 

Or  this : 

or  three  pills,  taken  night  and 

Aloes,  .... 

1 drachm. 

Myrrh,  - 

. l < 

Sulphate  of  Iron, 

1 “ 

Extract  Black  Hellebore, 

- 1 

Oil  Savine, 

1 “ 

Make  into  thirty  pills.  Dose,  one  pill  from  three  to  six  times  a 
day. 

The  remedies  should  always  be  taken  a few  days  before  the 
period  arrives  for  the  menses.  If  chronic  suppression  is  the  result 
of  any  acute  disease,  the  health  must  first  be  re-established  ; oth- 
erwise, it  would  be  wrong  to  force  the  menses.  When  this  has 
been  done,  immediately  before  the  return  of  the  period,  a warm 
hip  bath  should  be  taken  every  night  for  six  nights,  and  one  of  the 
following  pills  taken  three  times  a day : 

Fresh  powdered  Ergot  of  Rye,  50  grains. 

Barbadoes  Aloes,  - - - - - - 12  u 

Essential  Oil  of  Juniper,  - - - - 12  drops. 

Make  into  twelve  pills,  with  syrup  or  mucilage,  washing  down 
each  pill  with  a cupful  of  Pennyroyal  tea. 

ECLECTIC  AND  HERBAL. 

If  the  bowels  are  constipated,  use  the  compound  Powder  of 
Jalap.  Apply  hot  poultices  of  Hops  and  Tansy  to  the  abdomen. 
Teas  of  Pennyroyal,  Tansy,  Ginger  or  Motherwort  may  be  freely 
drank.  The  Compound  Tincture  of  Virginia  Snake  Root,  may  be 
given  at  short  intervals.  For  costiveness,  the  pills  recommended 
under  difficult  menstruation,  composed  of  Aloes,  Gamboge,  Podo- 
phyllin,  etc.,  may  be  used.  A few  days  before  the  time  for  the 
menses,  take  half  a teacupful,  three  times  a day,  of  a tea  made  of 
the  Vervine  Root.  It  is  highly  recommended. 

HOMEOPATHIC. 

Aconite . — When  the  suppression  is  caused  by  fright  or  cold,  with 
congestion  of  blood  to  the  head  and  chest,  redness  of  the  face, 


S64 


OUR  FAMILY  PHYSICIAN. 


nausea,  faintness,  giddiness,  this  may  be  given  in  alternation  with 
Bryonia.  If  these  remedies  afford  only  partial  relief,  give  Opium. 

Belladonna.  — For  patients  of  full  and  robust  habit.  Symptoms 
are  beating  headache,  redness  of  the  face,  congestion  of  the  head 
or  chest,  great  thirst. 

Bryonia . — Headache  and  giddiness,  aggravated  by  stooping  and 
motion  ; pain  in  stomach,  sour  belchings,  constipation,  bleeding  of 
the  nose. 

^ Pulsatilla.  — The  most  important  remedy  in  this  trouble.  Called 
for  when  the  suppression  is  occasioned  by  getting  cold  ; severe 
headache,  confined  to  one  side  of  the  head,  with  shooting  pains, 
extending  to  face,  ears  and  teeth  ; dizziness,  with  humming  in  the 
ears  ; palpitation  of  the  heart ; coldness  of  the  hands  and  feet  ; 
flushes  of  heat ; nausea  and  vomiting  ; pressure  in  the  lower  part 
of  abdomen  ; feeling  of  suffocation  on  the  least  exertion  ; frequent 
desire  to  urinate  ; leucorrhcea  ; sadness. 

Sepia . — Nervous  headache,  with  alternate  shuddering  and  heat 
colic,  and  pains  in  sides  ; bearing  down  pains,  pale  complexion,  or 
yellow  spots  on  face  ; weeping  ; hysterical  troubles,  especially  indi- 
cated when  there  is  leucorrhcea. 

Veratrum. — Nervous  headache,  nausea  and  vomiting;  coldness 
of  the  hands  and  feet,  weakness  and  fainting. 

Sulphwr.  — Headache,  principally  in  back  of  head;  feeling  of 
fullness  and  weight  in  head  ; throbbing  and  buzzing  ; pale  face, 
with  red  spots  on  cheeks  ; sour  stomach  ; pressure  in  abdomen  ; 
constipation,  with  ineffectual  urging  to  stool  ; or  diarrhoea,  with 
mucus,  slimy  evacuations  ; piles,  leucorrhcea,  with  itching  of  the 
private  parts,  pains  in  the  loins  ; difficulty  of  breathing  ; irritable 
temper  and  sadness.  In  chronic  cases  where  the  patient  is  very 
much  reduced,  give  either  China,  Graphites,  Arsenicum,  or  Na- 
trum  Muriaticum. 

Administration  of  Remedies.  — Dissolve  twelve  globules  in  twelve 
teaspoofuls  of  water,  and  give  a teaspoonful  every  one  or  two 
hours,  according  to  the  urgency  of  the  symptoms.  If  the  discharge 
does  not  return,  but  the  symptoms  are  removed,  stop  the  medicine, 
and  commence  again,  a few  days  before  the  next  period. 

Cessation  of  the  Menses — Change  of  Life. 

By  the  phrase,  u change  of  life,”  or  the  critical  period,  we  un- 
derstand the  final  cessation,  or  stoppage  of  the  menses.  It  usually 
takes  place  between  the  ages  of  forty  and  fifty,  although  in  some 
<&ases  it  may  occur  as  early  as  thirty,  and  in  others  not  until  sixty  ; 
however,  we  can  expect  the  change  about  the  forty-fifth  year. 


DISEASES  OF  WOMEN. 


365 


The  symptoms  will  vary  according  to  the  constitution  of  the  woman  ; 
in  some  the  change  occurs  by  the  discharge  gradually  diminish- 
ing in  quantity,  in  others  by  the  intervals  between  the  periods  be- 
ing lengthened.  The  woman  may  pass  this  period,  without  having 
any  more  unpleasant  symptoms  than  an  occasional  rush  of  blood  to 
the  head,  or  a headache.  Others,  however,  may  have  very  severe 
symptoms  arise,  which  will  require  the  care  of  an  intelligent  physi- 
cian. These  disagreeable  sensations  should  receive  a careful  con- 
sideration, and  not  be  hushed  up  with  the  reply,  that  these  com- 
plaints arise  from  the  “ change  of  life,”  and  will  vanish  whenever 
that  change  takes  place.  The  foundation  of  serious  trouble  may 
be  laid,  which  will  make  the  remainder  of  her  existence  a burden, 
and  cut  short  a life  which  might  have  been  conducted  to  a green 
old  age.  While  this  change  is  in  progress,  in  probably  the  majori- 
ty of  cases,  there  is  more  or  less  disturbance  of  the  health.  It  is 
sometimes  quite  impossible  to  say  exactly  what  is  the  trouble  with 
the  patient,  except  that  she  is  out  of  health.  The  following  are 
some  of  the  symptoms  which  may  arise: 

Symptoms.  — Headache,  dizziness;  biliousness,  sour  stomach,  in- 
digestion, diarrhcea,  costiveness,  piles ; itching  of  the  private  parts ; 
cramps  and  colic  in  the  bowels;  palpitation  of  the  heart;  swelling 
of  the  limbs  and  abdomen ; pains  in  the  back  and  loins ; paleness 
and  general  weakness. 


GENERAL  TREATMENT. 

Eat  and  drink  moderately ; sleep  in  airy  well  ventilated  rooms ; 
avoid  stimulants;  exercise  daily  in  the  open  air,  either  by  walking 
or  riding;  avoid  violent  emotions;  shun  exposure  to  wet,  stormy 
weather,  wet  feet,  etc. 

ECLECTIC  AND  HERBAL. 

For  the  giddiness  and  pains  in  the  head  give  the  Compound 
Powder  of  Jalap,  or  the  Compound  Powder  of  Leptandrin. 

HOMEOPATHIC. 

The  remedies  most  called  for  are  Pulsatilla,  Lachesis,  Bryonia, 
Cocculus,  Ignatia,  and  Sulphur.  Generally  the  treatment  may  be 


366 


OUR  FAMILY  PHYSICIAN. 


commenced  with  Pulsatilla  and  Lachesis.  Give  one  dose  (six 
globules)  of  Pulsatilla  for  four  days;  then  omit  all  medicines  for 
four  days;  then  give  Lachesis  in  the  same  manner.  If  the  symp- 
toms abate  do  not  give  any  more  medicine,  so  long  as  improvement 
continues.  Bryonia  is  to  be  given  when  there  is  tendency  of  blood 
to  the  head,  dizziness,  etc.  Ignatia,  when  the  patient  is  nervous 
and  irritable. 

ALLOPATHIC. 


Keep  the  bowels  regulated  with  the  following: 

Mercurial  pill,  .....  1 grain. 

Ipecac  Powder,  \ u 

Compound  Rhubarb  Pill,  ...  3 grains. 

Mix  for  a pill  to  be  taken  every  night. 

Oi  one  ounce  of  Hicra  Picra,  or  powdered  Aloes  with  Castella, 
mixed  in  a pint  of  gin,  which  should  stand  for  four  or  five  days,  af- 
ter which  a tablespoonful  in  a glass  of  water  may  be  taken  every 
morning,  or  second  morning,  as  the  case  may  be. 

If  the  patient  is  large  and  fleshy,  of  full  habit,  the  following  is 
recommended : 

Sulphate  of  Magnesia,  1^  ounces. 

Compound  Infusion  of  Roses,  - - 5 

Cinnamon  Water,  .....  1 ounce. 

Mix.  Dose,  two  tablespoonfuls  once  a day. 

If  there  are  nervous  symptoms  prominent,  give : 


Valerianate  of  Zinc, 

Tincture  of  Valerian, 

Orange  Flower  Water,  - 
Syrup  of  Red  Poppies, 

Mix.  Dose,  a tablespoonful  every  six  hours. 


8 grams. 

2 drachms. 

ounces. 

2 drachms. 


DISEASES  OF  WOMEN. 


S67 


CHAPTER  III. 

Falling  of  the  Womb  — ( Prolapsus  Uteri.) 

TO  better  understand  this  disorder,  a slight  knowledge  of  the 
Anatomy  of  the  Organ  is  advisable.  The  womb  is  pear  shaped, 
flattened  from  before  backward,  and  is  from  two  and  a half  to  three 
inches  long,  by  one  and  three  quarters  wide  at  the  top,  and  termi- 
nates below  in  the  neck,  which  is  about  half  an  inch  across  ; its 
weight  is  about  one  ounce  and  a half.  It  is  situated  in  what  is 
called  the  pelvic  cavity,  or  the  lower  part  of  the  abdomen,  between 
the  bladder  in  front,  and  the  rectum  or  fundament  behind.  It  is 
held  up,  partly  by  resting  on  the  upper  end  of  the  vagina,  and 
partly  by  four  ligaments  which  act  as  guys.  These  ligaments  are 
about  two  and  a half  inches  in  length,  and  their  sole  duty  is  to 
keep  the  womb  in  position.  Falling  of  the  womb  is  simply  a sink- 
ing down  of  the  organ,  and  may  be  so  slight  as  not  to  be  noticed, 
or  so  great  that  the  organ  will  protrude  between  the  legs  through 
the  external  opening. 

Causes.  — This  is  not  a disease  of  the  womb  itself ; but  of  some 
of  its  supports.  So  long  as  the  vagina  retains  its  natural  size,  and 
the  ligaments  are  but  two  and  a half  inches  long,  the  organ  will 
not  be  displaced.  Whatever  tends  to  relax  and  weaken  the  sys- 
tem may  cause  the  complaint.  The  muscles  of  the  abdomen  which 
support  the  intestines  being  weakened  from  any  cause,  will  allow 
the  intestines  to  press  down  upon  the  womb  and  its  ligaments,  and. 
in  consequence  of  this  constant  pressure,  they  give  way.  Anothei 
cause  is  too  early  exercise  after  child  bearing.  Flooding,  and  leu 
corrhoea  or  whites,  if  allowed  to  continue  for  a long  time  will  pro 
duce  it.  In  delicate  females,  continual  running  up  and  down  stairs, 
also  tight  lacing,  dancing,  leaping,  and  running,  particularly  during 
the  period  of  menstruation,  when  the  womb  is  increased  in  weight 


388 


OUR  FAMILY  PHYSICIAN 


by  the  blood  contained  in  it.  The  use  of  medicines  to  loosen  the 
bowels,  which  is  very  common  among  many,  is  still  another  cause  of 
the  disorder. 

Symptoms.  — The  symptoms  will  vary  with  the  extent  of  dis- 
placement. There  will  generally  be  more  or  less  of  a bearing 
down,  or  dragging  sensation  in  the  lower  part  of  the  abdomen, 
with  pain  in  the  small  of  the  back  ; pressure  low  down  toward  the 
private  parts.  These  feelings  are  increased  by  exercise,  or  by 
standing  long  on  the  feet,  and  are  relieved  by  lying  down.  There 
is  also  pain,  and  a feeling  of  distress  in  the  groin,  and  extending 
down  the  thighs,  caused  by  pressure  on  the  nerves,  and  a desire  to 
make  water,  sometimes  without  being  able  to  do  so,  except  drop 
by  drop,  and  the  urine  is  generally  hot.  The  patient  has  a press 
ure  about  the  rectum,  which  calls  her  to  go  to  stool,  which,  if  she 
obeys,  almost  always  ends  in  disappointment.  The  pain  in  the 
back  is  sometimes  so  distressing  that  she  is  obliged  to  throw  her 
body  forward,  or  support  herself  by  placing  her  hands  upon  her 
thighs,  when  she  attempts  to  walk.  These  symptoms,  however, 
subside  when  she  lies  down,  and  this  circumstance  pretty  clearly 
points  out  the  disease.  She  has  headache,  a distressed  expression 
of  countenance,  dyspepsia,  palpitation  of  the  heart,  and  pain  in  the 
left  side. 

GENERAL  TREATMENT. 

Most  females  who  are  troubled  with  falling  of  the  womb,  think 
that  it  is  necessary  to  a cure  that  they  should  wear  some  kind  of  a 
support  to  the  abdomen.  These  supporters,  however,  do  a vast 
amount  of  harm ; for  by  being  worn  tightly  around  the  abdomen, 
they  increase  the  pressure  on  the  bowels,  thus  forcing  down,  more 
and  more,  the  womb  and  its  appendages.  All  that  is  necessary  is 
to  raise  up  the  womb  to  its  natural  position,  and  use  an  instrument 
that  will  keep  it  in  place.  This  instrument  is  called  a pessary. 
This  pessary  is  a ring,  or  hollow,  cup-shaped  globe,  made  of  gold, 
silver,  ivory,  wood  or  gutta  percha,  and  is  placed  in  the  vagina,  or 
birth  place,  thus  supporting  the  womb.  The  cold  hip  bath  should 
be  used  once  a day,  at  the  same  time  injecting  cold  water  into  the 
vagina,  with  a syringe.  Lie  down  as  much  as  possible,  and  avoid 
becoming  fatigued.  Apply  cold  bandages  to  the  abdomen,  on  going 


DISEASES  OF  WOMEN. 


369 


to  bed.  Do  not  wear  corsets  or  heavy  skirts,  but  allow  the  clothos 
to  be  loose.  These  things  must  be  attended  to  closely.  The  diet 
should  be  plain  and  nourishing,  but  not  stimulating. 


— HOMEOPATHIC. 

Belladonna.  — When  there  is  a feeling  of  pressure  in  the  abdo- 
men as  if  the  contents  would  fall  out ; heaviness  in  the  thighs, 
with  crampy  pains  in  the  abdomen,  extending  even  to  the  end  of 
the  spinal  column  ; great  sensibility  and  irritability  ; leucorrhoea 
and  profuse  menstruation. 

Sepia.  — Menstruation  too  early,  too  feeble,  or  suppressed  ; pains 
in  the  back  and  abdomen,  which  are  aggravated  by  walking ; fre- 
quent desire  to  urinate  ; pressing  pain  in  the  abdomen,  as  if  every- 
thing would  fall  out ; itching,  burning  lecuorrhcea,  with  a discharge 
of  yellowish,  reddish,  or  fetid  fluid. 

Nux  Vomica.  — Pressure  downwards,  especially  when  walking,  or 
after  walking ; heat  and  weight  in  the  womb  and  vagina  ; dragging, 
aching  pain  in  the  back,  in  the  abdomen,  and  down  the  thighs 
During  the  menses,  colic,  and  headache  ; menses  too  early  and  too 
profuse  ; leucorrhoea,  with  discharge  of  yellow  fetid  mucus. 

Calcarea  Carb. — Excellent  for  persons  of  weak  muscular  sys- 
tem, or  of  scrofulous  habit,  and  especially  where  the  menses  are 
exhausting,  too  profuse,  and  too  frequent. 

Commence  the  treatment  with  a dose  of  Nux  Yomica  every  four 
hours,  and  continue  that  for  one  week  ; omit  the  next  week,  but 
the  week  following  take  a dose  of  Sepia,  night  and  morning.  If 
the  symptoms  indicate  Belladonna,  give  that  instead  of  Nux 
Vomica. 


ECLECTIC  AND  HERBAL. 

Use  an  injection  of  an  infusion  of  White  Oak  Bark,  Geranium, 
or  a solution  of  Alum,  in  the  proportion  of  one  ounce  to  the  pint  of 
water.  If  there  is  inflammation  of  the  womb,  this  must  be  subdued 
before  using  the  pessary.  Give  Tincture  of  Aconite,  compound 
powder  of  Ipecac  and  Opium,  with  injections  of  an  infusion  of 
Hops  and  Lobelia,  or  an  infusion  of  Belladonna. 

Peach  leaves,  Solomon’s  Seal  and  Hops,  equal  parts  in  infusion, 
make  an  excellent  injection.  If  there  is  heat  and  difficulty  in 
passing  water,  drink  an  infusion  of  Marsh  mallow  and  Spearmint. 
If  the  patient  is  weak,  give  some  preparation  of  Iron,  as  Citrate 
of  Tron  and  Quinine,  or  the  compound  wine  of  Comfrey. 

24 


OUR  FAMILY  PHYSICIAN. 


ALLOPATHIC. 

Use  the  following  tonic : 

Sulphate  Quinine  -----  25  grains. 

Citrate  of  Iron  (soluble)  35  grains. 

Make  into  twenty  four  powders.  Take  a powder  three  times  a 
day,  after  each  meal,  in  sweet  wine,  or  use  the  preparation  of  the 
Precip.  Carbonate  of  Iron,  given  under  Menorrhagia,  or  profuse 
menstruation. 

Lkucorrhgea — Whites — Fluor  Albus. 

The  word  leucorrhoea  is  derived  from  two  Greek  words,  and 
means  literally  a “ white  discharge.”  It  is  also  known  as  “ Fluor 
Albus,”  “ Whites,”  and  “ Female  Weakness,”  and  consists  of  a 
“ light  colorless  discharge  from  the  genital  organs,  varying  in  hue 
from  a whitish  or  colorless,  to  a yellowish,  light  green,  or  to  a 
slightly  red  or  brownish  ; varying  in  consistency  from  a thin  watery, 
to  a thick,  tenacious,  ropy  substance  ; and  in  quantity  from  a slight 
increase  in  the  healthy  secretion,  to  several  ounces,  in  the  twenty- 
four  hours.”  This  discharge  generally  occurs  between  the  age  of 
fifteen  and  forty-five,  seldom  during  infancy  or  old  age.  When  it 
occurs  in  young  female  children,  it  will  not  unfrequently  be  pro- 
duced by  the  presence  of  pin  worms  in  the  vagina,  which  make 
their  way  there  from  the  rectum.  There  will  be  intense  itching 
of  the  parts,  and  the  worms  can  be  removed  with  a small  piece  of 
cloth,  after  separating  the  lips. 

This  disease  may  be  either  acute  or  chronic.  The  acute  form 
generally  results  from  taking  cold,  and  is  simply  a catarrhal  in- 
flammation of  the  mucous  membrane  lining  the  vagina.  The 
chronic  form  is  but  a continuation  of  the  acute,  and  is  generally 
caused  by  the  acute  stage  having  been  neglected  or  improperly 
treated.  Ulceration  of  the  neck  of  the  womb  sometimes  results. 
There  are  two  forms  of  leucorrhoea  : — vaginal  leucorrhoea,  when 
the  discharge  comes  from  the  walls  of  the  vagina  ; and  cervical 
leucorrhoea,  when  the  discharge  proceeds  from  the  neck  of  the 
womb. 


DISEASES  OF  WOMEN. 


371 


Causes . — Taking  cold  from  sitting  on  the  ground,  or  exposure  of 
the  neck  and  shoulders  ; over  sexual  excitement,  and  sexual  inter- 
course ; tight  lacing  ; piles  ; miscarriages  and  abortions  ; displace- 
ments of  the  womb  ; purgatives  ; improper  articles  of  diet  ; warm 
injections,  or  injections  of  any  kind  ; late  hours,  etc.  It  may  also 
be  hereditary. 

Symptoms.  — Where  there  is  only  a catarrhal  inflammation  from 
taking  cold,  etc.,  there  will  be  heat  and  soreness  of  the  parts,  with 
a feeling  of  heaviness,  or  bearing  down  pains,  and  weariness. 
There  will  also  be  slight  chills,  pain  in  the  back,  thirst,  quick 
pulse,  high  colored  urine.  In  this  stage  of  the  disease  there  will 
be  little  difficulty  in  curing  it,  if  it  is  properly  treated.  When 
the  discharge  is  from  the  womb,  it  will  be  thick,  acrid,  corrosive  or 
burning,  and  putrid,  of  a brownish,  or  greenish  color,  and  makes 
sore  the  lips  and  adjoining  skin.  Digestion  will  become  impaired, 
there  will  be  sickness  at  the  stomach,  loss  of  appetite,  headache, 
dizzmess,  weakness,  constant  aching  in  the  back,  extending  low 
down  between  the  thighs  ; the  face  becomes  thin  and  pale,  and  the 
eyes  are  sunken,  and  surrounded  by  a dark  circle. 


GENERAL  TREATMENT. 

The  treatment,  to  be  successful,  requires  that  the  patient  should 
first  be  placed  in  a favorable  condition.  Anything  which  tends  to 
excite  the  disease,  must  be  avoided,  as  dissipations,  late  suppers, 
etc.  The  diet  must  be  plain  and  nourishing,  without  being  stimu- 
lating, and  be  taken  regularly.  Exercise,  short  of  fatigue,  will  be 
beneficial.  The  clothing  should  be  warm,  and  worn  loosely,  espe- 
cially about  the  waist.  Water  is  of  great  importance  in  the 
treatment  of  this  trouble.  The  sitting  bath  may  be  used  every 
day,  and  injections  of  cold  or  tepid  water  should  be  used,  three  or 
four  times  a day,  according  to  the  severity  of  the  discharge. 

An  injection  of  weak  green  tea  will  be  found  good  in  some  mild 
cases,  as  also  sweet  cider,  a weak  solution  of  alum. 

ECLECTIC  AND  HERBAL. 

When  the  discharge  is  burning,  and  there  is  scalding  and  pain  in 
making  water,  the  following  will  be  found  valuable  : 


372 


OUR  FAMILY  PHYSICIAN. 


Balsam  Copaiva,  .....  i ounce. 

Sweet  Spirits  of  Nitre,  - • . - - 2 ounces. 

Sweet  Almond  Oil,  -----  2 ounces. 

Spirits  of  Turpentine,  - - - - 1 ounce 

Pulverized  Camphor,  1 scruple. 

Mix  in  an  eight-ounce  bottle.  Dose,  one  teaspoonful  in  half  a 
cup  of  slippery  elm  tea,  three  or  four  times  a day.  One  of  the 
best  tonics  is  the  Muriated  Tincture  of  Iron,  of  which  take  twenty 
or  twenty-five  drops,  in  half  a tumbler  of  water,  three  or  four 
times  a day.  A good  injection  is  made  of  a tea  of  Poppy  heads, 
and  to  a pint  of  this  tea  add  one  and  a half  ounces  of  pulverized 
Borax.  Another  excellent  injection  is  made  by  taking  three 
drachms  of  Tannic  acid,  and  an  ounce  of  Alum,  dissolving  in  a 
quart  of  water,  and  inject  one-third,  three  times  a day.  The 
bowels  should  be  kept  open  by  Rochelle  or  Epsom  Salts,  or  Seidlitz 
Powder.  Where  there  is  great  debility  of  the  organs,  or  when  the 
disease  has  been  brought  on  by  exposure  to  cold,  pregnancy,  abor- 
tions, etc.,  the  following  will  be  found  very  successful : 

Tincture  of  Aloes, 2 ounces. 

Muriated  Tincture  of  Iron,  ...  4 drachms. 

Mix.  Dose,  thirty-five  drops, in  water,  three  times  a day.  At 
the  same  time  use  the  following  injection: 

Sulphate  of  Zinc  (White  Vitriol,)  - 2 drachms. 

Sugar  of  Lead, 2 “ 

Mix  in  one  quart  of  water,  and  use  one  fourth  for  each  injection 

The  following  will  be  found  beneficial  in  some  cases : 

Tincture  of  Socotrine  Aloes,  - ■ 4 ounces. 

“ “ Muriate  of  Iron,  1 ounce. 

Mix.  Dose,  thirty-five  drops  in  water  three  times  a day.  At 
the  same  time  use  the  above  injection. 

Another  excellent  injection  is  a decoction  of  Black  Cohosh  root, 
with  Tannic  acid  added.  As  an  internal  remedy,  the  following 
may  sometimes  be  used:  Take  equal  parts  of  grated  Nutmeg  and 

powdered  Alum.  Mix.  Dose,  a teaspoonful  three  times  a day  in 
molasses. 


ALLOPATHIC. 

The  following  tonic  is  highly  recommended : 

Tincture  Conium,  - - - - 1 ounce. 

“ Aconite  leaves,  ...  3 drachms. 

Ammoniated  Iron  Alum,  - - - - 3 “ 

Simple  Syrup,  .....  8 ounces. 

Dose.  One  teaspoonful,  three  times  a day,  in  water,  after  meals. 


DISEASES  OF  WOMEN. 


3?S 


If  the  leucorrhcea  is  cervical  or  from  the  womb,  the  following  will 
be  found  beneficial  : 


Tannic  Acid,  ------ 

1 drachm. 

Alum  pulverized,  .... 

- \ ounce. 

Water,  ------- 

Inject  half,  night  and  morning. 

Or, 

1 quart. 

Alum,  - 

Honey  of  Roses,  - - 

1 drachm. 

- 1 ounce. 

Water,  ------ 

3 ounces. 

A tablespoonful  of  this  in  a cup  of  water,  inject  twice  a day. 

If  there  is  much  pain  the  following  injection  will  be  found  bene- 
ficial : 


Laudanum,  2 drachms. 

Solution  Sub-acetate  of  Lead,  - - -1  drachm. 

Water,  1 pint. 

Inject  half,  night  and  morning. 


If  the  leucorrhoea  is  vaginal,  injections  of  cold  water  will  be 
found  of  great  service,  especially  when  there  is  falling  of  the  womb. 
Also  the  following  injection: 

Bi-carbonate  of  Soda,  \ ounce. 

Bi-carbonate  of  Potash,  - - • " i u 

Water,  I quart. 


Inject  half,  night  and  morning.  Or, 
Solution  Sub-acetate  of  Lead,  • 
Water,  - 


2 drachms. 
1 quart. 


Inject  half,  night  and  morning. 


When  these  injections  are  not  of  much  benefit,  the  following  may 
be  tried  internally: 

Fowler’s  Solution,  ....  2 drachms. 

Tincture  Conium,  ^ ounce. 

Tincture  Aconite  leaves,  ...  2 drachms. 

Simple  Syrup,  -----  4 ounces. 

Dose,  one  teaspoonful  three  times  a day,  on  every  other  day. 


HOMEOPATHIC. 

Pulsatilla. — When  the  discharge  is  thin  and  acrid,  making  the 
parts  sore,  with  swelling  of  the  vulva,  or  when  the  discharge  is 
like  cream,  attended  with  cutting  pains  in  the  abdomen.  Pulsatilla 


374 


OUR  FAMILY  PHYSICIAN. 


is  best  adapted  to  females  of  a mild  disposition,  with  soft  muscular 
system,  light  hair,  and  pale  skin. 

Sepia . — Best  suited  to  sensitive  and  delicate  females.  The 
discharge  is  yellowish  or  greenish,  sometimes  mixed  with  matter, 
and  blood,  burning,  stitches  in  vagina,  and  with  burning  pain  and 
soreness  of  the  parts;  falling  of  the  womb. 

Alumina. — Leucorrhcea  after  the  menses;  profuse  discharge  of 
mucus  during  the  day,  stiffening  the  linen;  burning  discharge 
causing  heat,  soreness,  and  itching  of  the  privates. 

Calcarea  Carb.  — Leucorrhcea  before  the  menses,  with  itching, 
burning  discharge,  at  intervals,  or  when  making  water.  Best 
suited  to  females  of  light  complexion,  loose  muscular  tissue,  slug- 
gish circulation. 

Nitric  Acid . — For  fetid,  brownish,  greenish  or  flesh  colored 
leucorrhcea. 

Mercurius . — Purulent,  burning  leucorrhoea. 

Cocculus . — Watery,  bloody  leucorrhoea  during  pregnancy. 
Scanty  menses,  with  leucorrhoea  between  the  periods. 

Sulphur.  — In  stubborn  cases:  discharge  slimy  or  yellowish, 
smarting,  excoriating  leucorrhoea,  preceded  by  colic. 

Administration  of  Remedies.  — Of  the  selected  remedy  give  six 
pills,  morning  and  evening,  for  five  days.  If  the  case  does  not  im- 
prove, give  a dose  of  Sulphur,  and  omit  four  days,  and  then  repeat 
the  remedy  as  before.  If  this  affords  no  relief,  the  remedy  must  be 
changed. 


DISEASES  OF  WOMEN. 


S75 


CHAPTER  IV. 

Pregnancy. 

PREGNANCY  is  the  state  between  the  periods  of  conception  and 
delivery.  It  can  only  take  place  after  the  period  of  menstrua- 
tion has  commenced,  and  ceases  with  the  u change  of  life,”  or  when 
the  woman  ceases  to  menstruate.  There  are  many  things  to  be 
guarded  against  at  this  period,  which  if  not  controlled  will  exer- 
cise an  injurious  influence  on  the  offspring.  A proper  state  of  mind 
and  feeling  must  be  maintained.  Violent  anger,  jealousy,  or  terror, 
nearly  always  produce  unpleasant  effects,  and  abortion  is  sometimes 
caused  by  great  mental  excitement.  A woman  who  is  ill  tempered, 
passionate,  and  irritable,  could  hardly  be  expected  to  give  birth 
to  an  infant,  who  would  be  sweet  tempered  and  gentle.  We 
all  know  how  much  the  disposition  of  the  parents  is  shown  in 
the  children  ; and  of  how  great  importance  is  it  then,  that  the 
mother  especially  should  cultivate  a gentle  and  loving  heart,  a 
kind  and  forgiving  spirit,  so  that  her  children  may  grow  up  an 
honor,  and  not  a source  of  unhappiness  and  misery  to  her.  The 
womb  has  a great  influence  through  the  nervous  system,  over  the 
whole  body,  so  that  when  it  contains  the  germ  of  a human  being, 
it  must  affect  more  or  less  the  entire  system  of  the  woman.  The 
symptoms  which  arise  from  this,  constitute  the  signs  of  pregnancy. 
There  are  however,  many  of  these  symptoms,  which  are  found  in 
other  conditions,  so  that  no  one  sign  can  be  relied  upon  ; and  there 
are  also  women  who  are  very  little  disturbed  by  the  pregnant  state. 
The  first  effect  of  conception  is  generally  an  increased  state  of 
excitement  and  feverishness.  The  pulse  is  fuller  and  quicker  ; the 
appetite  becomes  disturbed  ; the  skin  is  sallow,  and  often  discolored. 
The  following  symptoms  are  most  to  be  relied  upon  : 

Signs  of  Pregnancy.  — The  first  sign  is  stoppage  of  the  menses. 


OUR  FAMILY  PHYSICIAN 


376 

This,  however,  may  occur  from  other  causes,  so  that  it  cannot  be 
considered  a certain  sign  in  itself,  but  if  the  health  of  the  female 
is  not  affected,  it  may  be  considered  a strong  indication. 

Morning  Sickness.  — This  taken  with  other  symptoms  is  of  great 
value.  Generally  the  stomach  is  irritable,  and  the  woman  suffers 
from  nausea  and  vomiting,  which  occur  particularly  in  the  morn 
ing.  It  commences  soon  after  conception,  and  generally  ceases 
after  the  third  month. 

Enlargement  of  the  Breasts.  — “ About  two  months  after  concep- 
tion the  attention  of  the  female  is  attracted  to  the  state  of  the 
breasts.  She  feels  an  uneasy  sensation  of  fullness,  with  throb- 
bing and  tingling  pain,  in  their  substance,  and  at  the  nipples. 
They  increase  in  size  and  firmness,  and  have  a peculiar  knotty, 
glandular  feel ; the  areola,  (a  colored  circle  around  the  nipple,) 
darkens,  and  after  some  time,  milk  is  secreted.  But  it  must 
be  recollected  that  the  breasts  may  enlarge  from  other  causes  : 
this  happens  with  some  women  at  each  menstrual  period,  when  the 
courses  are  suspended,  or  after  they  cease,  and  at  such  times  a 
milky  fluid  may  be  secreted.”  (Churchill.) 

Enlargement  of  the  Abdomen.  — This  symptom  taken  in  connec- 
tion with  others,  enables  us  to  tell  with  considerable  certainty  the 
period  of  pregnancy  at  the  time  we  make  the  examination.  Dur- 
ing the  first  four  months,  the  womb  remains  in  the  cavity  of  the 
pelvis,  or  the  lower  part  of  the  abdomen.  Very  soon  after  this, 
however,  it  may  be  felt  just  above  the  share  bone,  or  brim  of  the 
pelvis.  At  the  fifth  month  it  is  about  half  way  between  the  share 
bone  and  navel.  At  the  sixth  month  it  rises  as  high  as  the  navel, 
which  it  causes  to  protrude.  During  the  seventh  and  eighth 
months,  it  fills  the  whole  abdomen,  up  to  the  stomach,  the  intestines 
being  pushed  above  and  behind  it. 

Quickening.  — This  is  the  first  motion  felt  by  the  mother  of  the 
ohild  within  her  womb,  and  it  generally  occurs  at  about  the  fourth 
month  of  conception,  although  some  may  feel  it  earlier,  and  some 
not  until  the  sixth  or  seventh  month.  Some  think  that  the  child 
is  not  alive  until  this  period,  which  is  a very  erroneous  idea,  for  it 


DISEASES  OF  WOMEN. 


377 


is  just  as  much  a living  being  at  the  moment  of  conception,  as  at 
any  time  after  that.  "When  quickening  is  sudden,  the  woman  js 
apt  to  be  sick,  with  nausea,  and  sometimes  faints  entirely  away. 
The  sensation  at  first  is  like  a fluttering,  which  gradually  grows 
stronger,  until  she  can  feel  the  motions  of  the  different  extremities. 

There  are  many  other  signs  which  individual  women  have,  by 
which,  after  the  first  confinement,  they  are  able  to  tell,  in  connec- 
tion with  other  signs,  when  they  are  pregnant.  Some  of  these  are 
styes  on  the  eyelids,  tooth-ache,  black  spots  on  the  face  and  neck, 
like  freckles.  Some  are  taken  with  salivation,  which  is  very 
obstinate,  and  almost  impossible  to  control.  It  differs  from  the 
salivation  produced  by  mercury,  in  that  the  gums  are  perfectly 
healthy.  These,  however,  are  only  accidental  signs,  and  are  met 
with  only  in  individual  cases. 


Preservation  of  Health  during  Pregnancy. 

Dress . — Among  the  Romans  there  was  a law  that  all  pregnant 
women  should  wear  wide,  loose  clothing.  Was  there  a law  in 
these  days,  enforcing  the  mode,  there  would  be  fewer  bad  u gettings 
up,”  “ fallings  of  the  womb,”  “ broken  breasts,”  and  other  com- 
plaints. The  dress  should  be  worn  loose  and  light,  and  no  part 
of  it  should  be  tight.  Corsets  must  be  absolutely  thrown  aside  ; 
even  garters  should  not  be  worn.  Arrange  the  skirts  so  that  they 
will  hang  from  the  shoulder,  and  not  be  tied  around  the  waist ; the 
blood  must  circulate  freely,  or  there  will  certainly  be  trouble  at 
some  time  during  pregnancy.  Great  care  should  be  taken  that  the 
dress  be  loose  around  the  breasts  ; for  it  may  happen  that  the 
breasts  may  be  so  flattened,  when  the  child  is  born,  that  the  nipple 
cannot  be  found.  If  the  woman  has  been  in  the  habit  of  bathing, 
either  in  warm  or  cold  water,  it  is  best  to  continue  it,  unless  it 
produces  evident  injury. 

Exercise.  — This  is  a most  important  part  of  the  preservation  of 
the  health.  Some  people  have  the  impression  that  a pregnant 
woman  should  not  exercise  ; but  this  is  a great  mistake.  It  is  by 


378 


OOTt  FAMILY  PHYSICIAN. 


this  means  that  she  can  } reserve  her  health  and  strength,  and  thus 
increase  the  health  of  tl  e child.  Exercise,  even  to  fatigue,  is 
easier  borne  than  mental  excitement,  and  the  latter  being  injurious, 
should  be  avoided  as  much  as  possible.  She  should  exercise  daily, 
and  actively.  She  must  walk,  and  not  ride,  for  carriage  riding  is 
not  sufficient.  The  best,  however,  is  that  which  she  finds  in  the 
performance  of  her  household  duties,  and  she  should  continue  these 
as  long  as  she  is  able.  If  she  does  not  feel  well,  or  abortion  is 
threatened,  she  must  cease  at  once.  Quick  and  violent  exercise 
should  be  avoided,  such  as  lifting  heavy  articles,  sudden  strains, 
jumping,  dancing,  or  reaching  long  distances. 

Diet.  — The  diet  should  be  plain  and  nourishing.  There  are 
some  who  have  a desire,  at  this  time,  for  articles  of  food  which 
would  be  very  injurious,  not  only  to  the  mother,  but  to  the  infant. 
The  woman  herself  is  the  best  judge  of  what  she  should  eat,  so 
that  no  rules  can  be  laid  down  to  regulate  the  diet.  She  should 
however,  avoid  all  highly  seasoned  food,  liquors,  and  strong  tea  and 
coflee. 

Diseases  during  Pregnancy. 

Morning  Sickness . — This  is  a most  troublesome  disorder,  and  one 
difficult  to  control.  It  sets  in  generally  early  in  the  beginning  of 
pregnancy,  and  continues  until  after  the  third  month.  The  attacks 
usually  come  on  early  in  the  morning,  and  last  but  a short  time. 

GENERAL  TREATMENT. 

It  may  sometimes  be  avoided  by  the  patient  taking  a cup  of 
coffee,  and  a little  toast,  in  bed,  before  she  arises  for  the  day. 
Drinking  freely  of  champagne  is  highly  recommended  as  very  ben 
eficial.  Ale,  lemonade,  sardines,  or  smoked  herring,  will  sometimes 
alleviate. 

ALLOPATHIC. 

The  following  mixture  will  be  found  beneficial : 

Bi-carbonate  of  Potash,  2 drachms. 

Simple  Syrup,  ------  2 

Distilled  Water, 6 ounces. 


DISEASES  OF  WOMEN. 


379 


Mix.  Two  tablespoonfuls  for  a dose,  to  each  of  which  add  a 
tablespoonful  of  fresh  Lemon  juice,  or  fifteen  grains  of  Citric  Acid 
previously  dissolved  in  a tablespoonful  of  water  ; to  be  drank  while 
effervescing. 

If  there  is  no  diarrhoea,  the  following  may  be  used  with  benefit . 

Sulphate  of  Magnesia,  ....  1 ounce. 

Carbonate  of  Magnesia,  - - - - 1 drachm. 

Peppermint  Water,  ....  4 ounces. 

Compound  Infusion  of  Gentian,  - - - 4 “ 

Mix.  Dose,  two  tablespoonfuls  three  times  a day. 

HOMEOPATHIC' 

Ipecac . — Bilious  vomiting;  nausea  and  vomiting,  with  uneasi 
ness  in  the  stomach  ; vomiting  of  undigested  food  ; bowels  loose. 

Tabacum.  — This  is  a very . important  remedy,  where  there  is 
nausea,  with  faintness,  and  deathly  paleness  of  the  face,  relieved 
by  being  in  the  open  air  ; vomiting  of  water,  and  acid  liquid  and 
mucus. 

Arsenicum.  — Excessive  vomiting  after  eating  and  drinking,  with 
fainting  and  great  weakness. 

Nux  Vomica.  — Nausea  and  vomiting  m the  morning  ; acid  and 
bitter  substances  arise  in  the  throat ; heart  burn  ; constipation. 

Sepia.  — If  the  nausea  has  lasted  for  a long  time,  and  appears 
generally  in  the  morning  ; in  the  evening  there  is  a painful  sensa- 
tioe  of  uneasiness  in  the  stomach,  with  burning  and  stinging  in  the 
pit  of  the  stomach. 

Camphor . — When  there  is  a cold  perspiration  with  hot  head  and 
cold  feet. 

Pulsatilla.  — When  Ipecac  and  Nux  Yomica  have  proved  insuf- 
ficient, and  especially  if  the  vomiting  comes  on  in  the  evening,  or 
at  night;  depraved  appetite;  longing  for  beer,  acid,  wine,  etc.; 
diarrhoea  alternating  with  constipation. 


ECLECTIC  AND  HERBAL. 


A tea  of  Bed  Bose  Willow  bark  will  sometimes  relieve,  or  a cup 
of  Chamomile  or  Peppermint  tea,  taken  about  an  hour  before 
rising  in  the  morning.  If  the  sickness  continues  at  intervals  dur- 
ing the  day,  the  following  mixture  should  be  taken  ever}'  three  or 
four  hours. 


Calcined  Magnesia, 

Aromatic  Tincture  of  Bhatany, 
Water  of  Pure  Ammonia, 
Distilled  Water, 

Mix.  Dose,  a teaspoonful. 


1 drachm 

1 ounce. 

2 drachms 
6 ounces. 


380 


OUR  FAMILY  PHYSICIAN. 


Pruritis — Itching  of  the  Private  Parts. 

This  is  a very  annoying  and  troublesome  disorder.  It  is  so 
severe  in  some  cases,  as  to  take  away  all  rest  and  sleep,  and  is  ab- 
solutely unbearable.  It  is  doubtful  as  to  what  is  the  cause  of  it. 
It  may  be  occasioned  by  an  unhealthy  discharge  from  the  vagina, 
or  it  may  depend  upon  an  eruption  like  thrush  in  infants,  when  it 
is  accompanied  with  burning,  heat,  redness,  dryness  and  swelling. 
The  parts  must  be  kept  perfectly  clean,  and  warm  water  will 
generally  be  found  the  best  to  use. 

TREATMENT  HOMEOPATHIC. 

The  best  remedy  in  this  trouble  is  Conium,  of  which  take  a dose 
(six  globules)  three  times  a day.  If  this  dose  does  not  effect  a 
cure,  give  one  of  the  following  remedies,  dose  the  same:  Arseni- 
cum, Bryonia,  Rhus,  Silicia,  Pulsatilla,  Sulphur,  Lycopodium,  or 
Graphites.  As  an  application,  use  an  ounce  of  borax,  dissolved  in 
a pint  of  rose  water  or  rain  water.  If  the  itching  extends  into 
the  vagina,  throw  in  some  of  the  solution  with  a female  syringe. 
A weak  infusion  of  green  tea,  or  a weak  solution  of  alum,  will 
. ometimes  be  found  beneficial. 

ECLECTIC  AND  HERBAL. 

The  following  is  recommended  : 

Powdered  Borax,  ..... 

Sulphate  of  Morphia,  .... 

Decoction  of  Golden  Seal, 

Dissolve  the  powders  in  the  decoction,  and 
several  times  a day. 

ALLOPATHIC. 

Powdered  Borax,  ....  ^ ounce. 

Sulphate  of  Morphia,  ....  6 grains. 

Distilled  Rose  Water,  ....  6 ounces. 

Mix  and  apply  to  the  parts,  several  times  a day. 

Or  the  following : 

Diacetate  of  Lead  (Goulard’s  Extract),  - 2 drachms. 

Spirits  of  Wine,  2 u 

Water  sufficient  to  make  a pint.  Mix. 


3 drachms. 

3 grains 

4 ounces. 

apply  to  the  parts, 


DISEASES  OF  WOMEN. 


381 


Varicose  Veins. 

An  enlargement  of  the  veins  of  the  leg,  caused  by  the  pressure 
of  the  uterus,  on  the  veins  within  the  abdomen,  thus  preventing  a 
free  return  of  blood  to  the  heart.  The  swelling  usually  com- 
mences at  the  ankle,  and  extends  upwards  towards  the  thigh,  but 
sometimes  not  above  the  knee.  The  swelling  is  always  less  when 
the  patient  lies  down.  This  trouble  disappears  after  delivery. 

GENERAL  TREATMENT. 

A free  use  of  cold  water,  or  diluted  alcohol,  at  the  commence- 
ment of  the  difficulty  will  afford  relief.  But  when  the  veins  be- 
come large,  knotted  and  painful,  the  leg  must  be  carefully  band- 
aged, beginning  at  the  toes,  or  a laced  stocking  should  be  worn. 
The  bandage  should  be  applied  by  an  intelligent  physician. 

ALLOPATHIC. 

Burdock  and  Plantain  leaves  bound  upon  the  leg  are  useful. 
Also  lead  water,  Alum  water,  or  an  infusion  of  White  Oak  Bark. 

HOMEOPATHIC. 

A weak  solution  of  Arnica,  or  Hamamelis,  may  be  used  to  ad- 
vantage. Apply  at  night  before  retiring,  always  rubbing  the  limb 
upwards. 

NuxVomica. — When  the  disease  is  attended  with  piles,  consti- 
pation, frequent  bearing  down  pains,  and  irritable  temper. 

Pulsatilla.  — The  principal  remedy,  especially  when  there  is 
much  swelling  of  the  veins,  and  of  the  whole  limb,  with  severe 
pain  and  considerable  inflammation. 

Arsenicum. — When  the  swelling  is  of  a livid  color,  with  a good 
deal  of  burning  pain.  If  this  does  not  relieve,  give  Carbo.  Veg. 


Piles,  or  Hemorrhoids. 

This  is  an  affection  to  which  pregnant  women  are  very  liable. 
They  are  generally  caused  by  constipation.  It  is  very  important 
that  a pregnant  women  should  pay  strict  attention  to  her  bowels, 


382 


OUR  FAMILY  PHYSICIAN. 


not  allowing  either  constipation,  or  diarrhoea,  and  by  attending 
early  to  these  derangements  much  trouble  may  be  avoided. 

GENERAL  TREATMENT. 

When  the  piles  appear,  or  there  seems  to  be  a disposition  for 
them  to  do  so,  the  free  use  of  cold  water  will  be  found  very  bene- 
ficial. It  may  be  used  in  a sitting  bath,  cold  compresses,  or  injec- 
tions. Warm  water  may  be  used  when  they  bleed  or  have  ceased 
to  bleed,  and  are  very  painful.  The  diet  must  be  carefully  regu- 
lated. Meat  should  be  used  as  little  as  possible.  Some  advise  a 
diet  of  bread  and  water  alone,  for  a few  days.  If,  after  each  evac- 
uation, the  bowel,  or  a small  tumor  protrudes,  causing  pain,  it  may 
be  returned  by  pressing  it  back  with  the  ball  of  the  finger.  It  is 
not  advisable  to  take  much  medicine.  Try  to  be  regular,  and  to 
take  regular  exercise.  The  bowels  maybe  kept  regular,  by  eating 
rye  bread,  rye  meal  and  molasses,  potatoes,  ripe  fruit,  stewed 
peaches,  prunes,  etc. 

HOMEOPATHIC. 

Nux  Vomica  and  Sulphur  are  the  principal  remedies,  Nux 
Vomica  especially,  when  there  is  a burning,  pricking  pain  in  the 
tumours ; also  when  there  is  a discharge  of  light  blood  after  each 
evacuation,  and  a constant  desire  to  evacuate.  Give  the  Nux  at 
night  (one  dose,)  and  the  Sulphur  in  the  morning  (one  dose.)  If 
these  do  not  relieve  in  a few  days,  Ignatia  may  be  given,  especially 
if  there  are  violent,  stitch-like  pains,  or  when  after  each  evacuation 
there  is  a painful  contraction  and  soreness.  If  the  constipation  is 
very  violent,  give  Ignatia  and  Opium,  every  two  or  three  hours 
alternately.  Other  remedies  are  Arsenicum,  Belladonna,  Carbo. 
Veg.,  TIepar  Sulphur,  Hamamelis  Virginica. 

ECLECTIC  AND  HERBAL. 

To  prevent  costiveness,  a teaspoonful  of  Cream  of  Tartar,  mixed 
with  water  or  molasses,  or  the  Compound  Rhubarb  pill,  may  be 
taken.  When  the  tumors  are  very  painful  and  inflamed,  a poul- 
tice of  Slippery  Elm  bark  and  milk  or  water,  will  give  relief;  at 
the  same  time  apply  the  following  ointment:  take  two  tablespoon- 
fuls of  fresh  butter,  without  salt,  and  four  teaspoonfuls  of  Spirits 
of  Turpentine.  Mix  them  well  together,  and  apply  two  or  three 
times  a day.  The  following  will  also  be  found  good  : 

Stramonium  Ointment,  ...  1 ounce. 

Powdered  Alum,  .....  2 drachms. 

Sulphate  of  Morphia,  ....  2 grains. 

Mix.  Apply  to  the  tumors,  on  a small  piece  of  cotton. 


DISEASES  OF  WOMEN. 


383 


ALLOPATHIC. 

When  medicine  becomes  necessary,  a teaspoonful  of  the  Confec- 
tion of  Senna,  or  a small  dose  of  Castor  Oil,  may  be  taken  occa- 
sionally, or  the  following  : 

Sulphur,  ounce. 

Magnesia,  ------  2 drachms. 

Cream  of  Tartar,  - - • • 2 “ 

Mix.  Dose,  one  teaspoonful,  in  a glass  of  water. 

See  “ Piles,7’  Chapter  XII.,  Section  I. 

Swelling  of  the  Feet  and  Limbs. 

This  is  caused  by  the  pressure  of  the  enlarged  womb  on  the 
lymphatic  glands. 

TREATMENT. HOMEOPATHIC. 

Bryonia  and  Opium  may  be  given  in  alternation  (turn  about) 
every  two  hours.  Dose,  six  globules. 

If  there  is  considerable  fever,  give  Aconite  and  Bryonia  in  alter- 
nation. Dose,  six  globules. 

ALLOPATHIC. 

The  limbs  should  be  sponged  with  vinegar  and  water,  and  the 
following  may  be  taken  with  advantage  : 

Infusion  of  Digitalis,  - - - - 4 ounces. 

Acetate  of  Potash.  - - - 2 drachms. 

Sweet  Spirits  of  Nitre,  - - - 2 “ 

Cinnamon  Water,  - - - - ounces. 

Mix.  Dose,  a tablespoonful  every  four  or  five  hours. 

ECLECTIC  AND  HERBAL. 

Infusions  of  Queen  of  the  Meadow,  and  Haircap  Moss,  or  Marsh- 
mallow may  be  freely  used. 

Constipation  during  Pregnancy. 

A sluggish  condition  of  the  bowels  is  one  of  the  annoying 
troubles  of  Pregnancy.  There  are  many  circumstances  to  induce 
it,  and  it  must  be  carefully  guarded  against.  A change  should 
generally  be  made  in  the  diet ; eat  plenty  of  ripe  sweet  fruits, 


384 


OUR  FAMILY  PHYSICIAN. 


such  as  apples,  prunes,  peaches,  etc.;  take  plenty  of  exercise  in 
the  open  air,  and  indulge  in  the  moderate  use  of  cold  water. 
Avoid  coffee  and  all  stimulating  liquids.  It  is  best  not  to  use 
violent  purgatives,  as  they  are  liable  to  produce  miscarriage. 

TREATMENT. — ECLECTIC  AND  HERBAL. 

An  injection  composed  as  follows  will  be  found  useful : Make 
an  infusion  of  three  parts  of  Boneset,  and  two  of  Senna,  to  a pint 
and  a half  of  which,  half  a pint  of  molasses  may  be  added,  and 
half  a wine  glass  of  Castor  Oil  ; one  half  of  this  may  be  taken  as 
an  injection,  and  if  necessary  repeat  in  about  twenty-five  or  thirty 
minutes.  Bepeat  the  injection  so  as  to  keep  the  bowels  regulated. 

ALLOPATHIC. 

A pleasant  remedy  to  keep  the  bowels  in  a natural  condition  is 
as  follows  : Boil  half  an  ounce  of  extracted  Senna  in  a pint  of 
water  for  two  hours  ; then  strain  the  liquor  over  a pound  of  prunes 
in  a saucepan,  adding  to  the  mixture  a handful  of  loaf  sugar  ; let 
the  prunes  stew  until  they  are  well  cooked,  soft  and  pulpy.  Eat 
six  or  eight  of  these  every  day. 

An  excellent  remedy  is  Tarrant’s  Seltzer  Aperient.  It  was  origin- 
ally prepared  for  the  use  of  physicians  attached  to  the  New  York 
hospitals,  but  has  been  prescribed  by  the  best  practitioners  for  more 
than  forty  years.  It  forms,  when  dissolved  in  water,  a pleasant  ef- 
fervescent draught,  and  produces  free  evacuation  without  discomfort 
or  the  possibility  of  injurious  effects.  Its  pleasant  and  certain 
action  renders  it  a medicine  of  great  utility. 

The  following  will  be  found  efficient : 

Sulphate  of  Magnesia,  - ounces. 

Compound  Infusion  of  Roses,  - - - 5 “ 

Cinnamon  water,  -----  1 ounce. 

Mix.  Dose,  two  tablespoonfuls  three  times  a day. 

HOMEOPATHIC. 

Take  a dose  of  Nux  Vomica  every  night  and  morning.  This 
remedy  may  be  given  in  alternation  with  Opium,  if  Nux  does  not 
have  the  desired  effect.  When  both  these  fail,  and  the  constipation 
has  continued  for  a long  time,  Lycopodium  or  Sulphur  may  be  taken. 
If  the  bowels  feel  painful,  Brponia  and  Ignatia  will  often  prove  ben- 
eficial. 

See  “ Constipation,”  Chapter  XII,  Section  L 


DISEASES  OF  WOMEN. 


385 


Diarrikea  during  Pregnancy. 

This  disease  does  not  occur  so  often  during  pregnancy  as  consti- 
pation, but  is  much  more  injurious,  as  it  rapidly  weakens  the 
patient  if  not  checked  Sometimes  there  is  simply  looseness  of 
the  bowels,  where  the  movements  are  more  frequent  than  usual  ; 
but  the  appetite  remains  good,  and  the  general  health  is  not  af- 
fected. Such  cases  may  be  controlled  by  simply  regulating  the 
diet.  The  diarrhoea,  however,  which  is  to  be  feared,  is  when  the 
discharges  are  dark-colored,  liquid,  and  very  offensive  ; the  breath 
is  bad,  and  there  is  a disagreeable  taste  in  the  mouth ; little  or  no 
appetite. 

GENERAL  TREATMENT. 

The  diet  should  be  carefully  regulated.  It  may  consist  of  barley 
water,  Gum  Arabic  water,  Arrowroot,  Sago,  Tapioca,  Iceland  ©r 
Irish  moss,  toast  water,  boiled  rice,  flavored  with  powdered  cinna- 
mon. 


ALLOPATHIC. 

The  following  may  be  used  with  good  effect : 

Chalk  mixture,  - - H ounces. 

Compound  Tincture  of  Cardamons,  - • 3 drachms. 

Tincture  of  Catechu,  ....  3 “ 

Laudanum,  ......  20  drops. 

Mix.  Dose,  two  or  three  tablespoonfuls,  every  four  hours. 

The  following  liniment  may  be  applied  on  warm  flannels,  over 
the  stomach  and  bowels  : 

6 drachma. 


Soap  Liniment, 

Compound  Camphor  Liniment, 
Laudanum, 

Mix. 


HOMEOPATHIC. 

Chamomtlla . — For  violent  colic,  yellow,  greenish  stool,  or  re- 
sembling stirred  eggs  ; rumbling  in  the  bowels. 

Pulsatilla.  — When  the  stools  are  watery  or  greenish,  preceded 
by  colic,  with  slimy,  bitter  taste  in  the  mouth  ; nausea  or  vomiting. 

Dulcamara.  — When  the  diarrhoea  is  caused  by  taking  cold ; 
worse  at  night. 

Nux  Vomica.  — Evacuations  frequent,  but  scanty,  accompanied 
with  great  straining  and  pressing-down  pain  in  the  rectum. 

25 


386 


OUR  FAMILY  PHYSICIAN. 


ECLECTIC  AND  HERBAL. 

The  following  will  be  found  good  : 

Compound  Syrup  of  Rhubarb  and  Potassa,  4 ounces. 

Essence  of  Peppermint,  drachms. 

Paregoric,  - - - - - - 4 “ 

Mix.  Dose,  a tablespoonful  every  hour,  until  the  appearance  of 
the  discharge  is  changed,  and  then  every  two,  three  or  four  hours. 

If  there  is  pain  or  griping,  an  injection  may  be  used  composed 
of  Castor  Oil,  two  tablespoonfuls,  molasses  and  water,  each,  a tea- 
cupful, Laudanum  twenty  to  sixty  drops.  Mix.  Repeat  as  often 
as  necessary. 

See  article  on  Diarrhoea,  Chapter  XII.,  Sec.  I. 

Toothache. 

For  the  treatment  of  this,  consult  Section  I,  Chapter  IX. 

Salivation. 

This  frequently  occurs,  and  is  a very  troublesome  complaint. 

TREATMENT. HOMEOPATHIC. 

Mercury . — Is  the  principal  remedy,  unless  the  disease  is  caused 
by  Mercury  : also  Lachesis,  Nitric  Acid,  Hepar  Sulphur,  Pulsa- 
tilla. 

Of  the  remedy  selected,  take  a dose,  (six  globules)  each  eve- 
ning until  better. 

Dyspepsia,  Heartburn,  Sour  Stomach. 

This  is  a frequent  and  annoying  symptom,  for  which  the  patient 
may  take  Magnesia,  Chalk,  or  Peach  kernels. 

ECLECTIC  AND  HERBAL. 

The  compound  Syrup  of  Rhubarb  and  Potassa  will  be  found 
very  good. 

HOMEOPATHIC. 

Nux  Vomica  and  Pulsatilla  are  the  principal  remedies.  They 
may  be  taken  either  alone  or  in  alternation  (turn  about.)  Some- 
times a slice  of  lemon  sugared,  and  kept  in-the  mouth,  will  relieve  j 
or  one  drop  of  Sulphuric  Acid  in  a tumbler  of  water. 


DISEASES  OF  WOMEN. 


38? 


Hysteric  Fits. 

Females,  during  the  early  months  of  pregnancy,  are  frequently 
attacked  with  fainting  and  hysteric  fits. 

TREATMENT. ECLECTIC  AND  HERBAL. 

The  treatment  for  hysteria  in  Section  I.,  Chapter  III.,  may  be 
used. 


HOMEOPATHIC. 

The  patient  should  be  placed  in  the  cold  air,  and  cold  water 
dashed  over  the  face,  and  Ammonia  held  to  the  nostrils.  When 
the  paroxysm  is  over,  give  a dose  of  Coffea  or  Chamomilla. 

When  the  attack  is  caused  by  disordered  digestion,  give  Nux 
Vomica  or  Pulsatilla. 

When  it  is  caused  by  anger  ; Chamomilla. 

Administration  of  Remedies.  — Give  six  globules  at  a dose,  and 
repeat  every  two,  three  or  four  hours. 

Palpitation  of  the  Heart. 

This  may  prove  very  distressing,  especially  to  delicate  women. 

TREATMENT. ECLECTIC  AND  HERBAL. 

The  following  may  be  used  with  good  effect : 

Tincture  of  Black  Cohosh,  ...  2 ounces. 

Tincture  of  Skull  cap,  - - - - 2 “ 

Mix.  Dose,  a teaspoonful  two  or  three  times  a day. 

ALLOPATHIC. 

Sometimes  tonics  are  used,  as  the  following : 

Muriated  Tincture  of  Iron,  1 ounce. 

Syrup  of  Orange  Peel,  ....  1 “ 

Rose  water,  ......  6 ounces. 

Mix.  Dose,  one  teaspoonful  in  a wineglass  of  water  after  each 
meal. 

HOMEOPATHIC. 

When  caused  by  anger,  Chamomilla;  by  fear,  Veratrum  ; by 
joy,  Coffea  ; by  sudden  fright,  Opium. 

For  nervous  persons,  Jgnatia,  Coffea,  Chamomilla. 

Other  remedies  are,  Belladonna,  Nux  Moschata,  Pulsatilla. 

Administration  of  Remedies.  — Of  the  remedy  selected,  dissolve 


388 


OUll  FAMILY  PHYSICIAN. 


twelve  globules  in  twelve  teaspoonfuls  of  water,  and  take  one  tea 
spoonful  every  hour  or  oftener,  if  the  severity  of  the  case  de- 
mands it. 

ECLECTIC  AND  HERBAL. 

A teaspoonful  of  the  tincture  of  Castor  Oil,  or  Asafoetida  and 
compound  spirits  of  Lavender  with  a little  water,  will  seldom  fail 
to  afford  relief. 


Headache. 

This  is  a very  common  complaint  among  pregnant  women,  and 
there  is  generally  considerable  nervous  irritability. 

TREATMENT.  HOMEOPATHIC. 

The  remedies  are  Aconite,  Belladonna,  Nux  Vomica,  Opium, 
Pulsatilla,  Platina. 

When  there  is  sleeplessness,  Coffea,  Ignatia,  Nux  Vomica,  Hy- 
osciamus,  Opium. 

When  there  is  sleepiness,  Opium,  Pulsatilla,  Nux  Vomica, 
Crocus. 

Administration  of  Remedies.  — Of  the  selected  remedy,  dissolve 
twelve  globules  in  twelve  teaspoonfuls  of  water,  and  take  a tea- 
spoonful every  half  hour,  hour,  two,  or  three  hours,  according  to 
the  severity  of  the  symptoms. 

ECLECTIC  AND  HERBAL. 

An  infusion  of  Scullcap,  or  Valerian  may  be  used  with  good 
effect. 

The  following  pills  may  be  taken  with  benefit : 

Sulphate  of  Quinine,  ....  6 grains. 

Extract  of  Belladonna,  - - - 1-J  “ 

Alcoholic  Extract  of  Black  Cohosh,  - 18  “ 

Mix,  and  make  into  twelve  pills.  Dose,  one  pill  three  times 
a day. 


ALLOPATHIC. 

Use  the  following : 

Sulphate  of  Morphine, 

- 2 grains. 

Cyanide  of  Potassium,  - 

4 “ 

Extract  of  Valerian, 

- 4 4< 

Make  into  twenty -four  pills.  Dose,  one 
Or  this : 

pill  three  times 

DISEASES  OF  WOMEN. 


389 


Chloroform, 

- 2 

ounces. 

Compound  Sulphuric  Ether,  - 

2 

u 

Laudanum,  - 

- 2 

u 

Tincture  of  Cayenne, 
Hydrocyanic  Acid,  diluted, 

■ H 

u 

- 1 

ounce. 

Mix.  Dose,  half  a teaspoonful  every  three  hours  until  the 
soothing  effects  are  experienced. 

Cough. 

This  is  sometimes  a very  troublesome  complaint. 

TREATMENT. ECLECTIC  AND  HERBAL. 

Two  parts  each  of  tincture  of  Scullcap  and  Lupuline,  mixed 
with  one  part  of  the  tincture  of  Hyosciamus,  may  be  given  in 
doses  of  a teaspoonful,  whenever  the  cough  is  troublesome. 

ALLOPATHIC. 

The  following  may  be  taken  with  benefit : 

Hydrocyanic  Acid,  ....  6 minims. 

Tincture  of  Henbane,  - - - - 60  “ 

Almond  Emulsion,  ....  6 ounces. 

Mix.  Dose,  two  tablespoonfuls  three  times  a day 
Cramps. 

Cramps  frequently  occur  in  the  calves  of  the  legs,  hips,  back,  or 
abdomen,  and  are  very  annoying. 

TREATMENT. ALLOPATHIC. 

When  they  affect  the  stomach,  take  the  following  : 

Compound  Tinct.  of  Cardamon,  - - 2 ounces. 

Compound  Tinct.  of  Lavender,  - - 2 u 

Compound  Tinct.  of  Gentian,  2 “ 

Mix.  Dose,  a teaspoonful  as  often  as  necessary. 

HOMEOPATHIC. 

For  cramps  in  the  limbs,  Veratrum,  Nux  Yomica,  Colocynth, 
Chamomilla. 

For  cramps  in  the  abdomen,  or  stomach,  Hux  Yomica,  Colocynth, 
Pulsatilla,  Belladonna. 

For  cramps  in  the  back,  Ignatia,  Rhus. 

Administration  of  Remedies.  — Of  the  selected  remedy,  dissolve 
twelve  globules  in  twelve  teaspoonfuls  of  water,  and  give  a tea- 
spoonful at  a dose  ; or  give  six  globules. 


390 


OUR  FAMILY  PHYSICIAN. 


ECLECTIC  AND  HERBAL. 

Rubbing  the  legs,  or  parts  affected  with  Spirits  of  Camphor,  or 
hot  whiskey  and  salt,  will  sometimes  readily  relieve.  Opodildoc 
is  also  good. 

* Incontinence  of  Urine,  (Enuresis.) 

This  is  a partial,  or  total  inability  to  retain  the  urine,  and  is  a 
very  annoying  complaint. 

treatment.  — homeopathic. 

The  principal  remedies  are,  Pulsatilla,  Sepia,  Belladonna,  Hyos- 
ciamus,  Causticum. 

Administration  of  Remedies.  — Of  the  remedy  chosen,  take  six 
pills  once  in  three  or  four  hours. 

eclectic  and  herbal. 

The  woman  maybe  allowed  to  drink  freely  of  the  tea  of  Marsh- 
mallows, pumpkin  seeds,  watermelon  seeds,  or  cleavers. 

Difficult  Urination,  ( Stranguria .) 

This  is  an  exceedingly  troublesome  complaint,  caused  by  pres- 
sure of  the  enlarged  uterus  upon  the  bladder. 

treatment.  — eclectic  and  herbal. 

An  infusion  of  Marshmallow  root  and  Trailing  Arbutus,  or 
Marshmallow  and  Peach  leaves,  may  be  taken.  Ten  or  twenty 
drops  of  Sweet  Spirits  of  Nitre  may  be  put  into  the  infusion  with 
benefit. 

HOMEOPATHIC. 

Pulsatilla  is  the  principal  remedy.  If  Pulsatilla  does  not  re- 
lieve, give  Nux  Vomica. 

Other  remedies  are  Belladonna,  Cantharides,  Cocculus,  Phos- 
phoric Acid. 

Administration  of  Remedies.  — Of  the  remedy  chosen,  take  six 
globules  every  two  hours. 

Flooding,  — Hemorrhage. 

For  the  treatment  of  this,  see  Chapter  V. 

Miscarriage  or  Abortion. 

By  miscarriage  or  abortion  we  mean  the  expulsion  of  the 
foetus  any  time  before  the  sixth  month.  If  it  occurs  during  the 
seventh  and  eighth  months  it  is  called  premature  delivery  ; at  this 
time  the  child  can  be  saved.  If,  however,  the  child  is  born  before 


DISEASES  OF  WOMEN, 


391 


the  seventh  month  it  cannot  live  Abortion  is  more  likely  to  oc- 
cur before  the  third  month,  and  also  at  the  time  for  the  menses. 
A woman  who  has  miscarried  once,  is  more  likely  to  do  so  again 
than  she  who  has  not.  Miscarriages  are  most  liable  to  occur  at 
the  same  time  that  the  former  one  did  ; therefore  a woman  must  be 
very  careful  at  this  time.  She  must  avoid  walking  long  distances, 
lifting  heavy  weights,  running  up  and  down  stairs,  late  hours, 
great  mental  excitement.  I am  speaking  of  cases  where  the  abor- 
tion is  accidental,  for  I take  it  for  granted  that  they  who  read 
these  pages  would  not  be  guilty  of  procuring  the  horrible  crime 
of  abortion  — a crime  for  which  there  can  be  no  excuse,  and  which 
at  the  same  time,  takes  the  life  of  a human  being,  and  ruins  the 
health  of  the  mother:  for  any  medicine  which  is  powerful  enough 
to  induce  abortion,  must  first  so  poison  the  system,  that  the 
woman  may  never  recover  from  the  effects. 

Causes.  — Among  the  common  causes  of  abortion  may  be  men- 
tioned, blows,  even  very  slight  ones  on  the  abdomen ; violent 
concussions;  falls;  straining;  lifting  heavy  weights,  running  up 
and  down  stairs ; riding  on  horseback,  or  in  a carriage  over  a rough 
road;  severe  coughing;  anger;  joy;  fear;  dancing;  excessive  or 
sudden  exertions;  the  action  of  drugs  which  some  women  are 
constantly  taking,  such  as  emetics,  purgatives,  as  aloes,  senna, 
etc.,  herb  teas,  patent  medicines;  the  use  of  blisters,  mustard 
plasters,  etc. 

Symptoms.  — The  first  symptoms  are  generally  feelings  of  weari- 
ness and  uneasiness,  with  aching  in  the  back ; bearing  down  pains, 
which  gradually  increase  to  labor  pains ; cutting  and  drawing  in 
the  loins  and  abdomen ; there  is  a discharge  of  bright  red  blood, 
either  large  or  small  in  amount. 

GENERAL  TREATMENT. 

Where  it  is  possible,  the  case  should  be  put  in  charge  of  a com- 
petent physician,  especially  if  there  is  great  flooding.  The  first 
thing  of  importance,  however,  is  to  see  that  the  patient  is  placed 
in  a proper  position.  As  soon  as  the  symptoms  appear,  she  should 
lie  down,  and  keep  perfectly  quiet.  She  should  go  to  bed  at  once} 


392 


OUR  FAMILY  PHYSICIAN. 


©n  a hard  mattress,  be  covered  very  lightly  with  clothes,  and  plenty 
of  air  admitted  into  the  room ; open  the  doors  and  windows,  if  it  is 
in  the  dead  of  winter,  and  the  snow  does  blow  into  the  room.  Re- 
move all  causes  of  excitement,  and  as  there  are  generally  numerous 
old  women  around  at  such  a time,  see  that  they  are  well  out  of  the 
house.  Let  her  drink  cool  lemonade,  toast  water,  or  ice  water, 
and  in  giving  it  to  her  do  not  let  her  raise  up  in  bed;  it  is  very 
important  that  she  should  maintain  a perfectly  horizontal  position; 
cake  all  pillows  from  under  her  head,  and  it  may  be  necessary  to 
elevate  the  foot  of  the  bed,  by  placing  blocks  of  wood  under  the 
legs.  Apply  cloths  wet  in  cold  water  and  vinegar  to  the  abdomen, 
the  thighs,  and  between  the  legs.  No  stimulants  should  be  given, 
unless  the  patient  be  very  much  reduced  by  loss  of  blood,  when  she 
may  take  a little  wine  or  brandy.  If  the  flooding  is  profuse  and 
cannot  be  stopped  by  medicines,  the  womb  must  be  plugged ; thi3 
plug  may  be  made,  by  thrusting  into  the  vagina  a silk  handker- 
chief wet  in  sweet  oil,  or  pieces  of  cloth  torn  into  large  squares 
and  put  in. 

HOMEOPATHIC. 

Arnica.  — When  the  attack  has  been  brought  on  by  a fall,  blow, 
mis-step,  overlifting,  or  any  great  physical  exertion. 

Cinnamon.  — When  arnica  fails  to  have  the  desired  effect. 

Secale. — Particularly  when  the  patient  has  miscarried  more 
than  once,  or  where  the  constitution  is  weak  and  exhausted,  and 
where  the  discharge  is  dark,  liquid  blood,  and  the  pains  are  slight. 

China.  — In  alternation  with  secale,  when  the  discharge  of  blood 
is  considerable,  and  the  weakness  and  exhaustion  increase  ; bearing 
down  sensation ; buzzing  in  the  ears  ; dimness  of  sight ; fainting 
when  raising  from  the  pillow. 

Hyosciamus . — When  there  are  spasms  or  convulsions  of  the  whole 
body. 

Ipecac . — In  alternation  with  secale,  if  there  is  sickness  at  the 
stomach,  cramps,  discharge  of  bright  red  blood,  fainting. 

Belladonna.  — May  be  given  in  alternation  with  Platina,  when 
there  are  great  pains  in  the  loins  and  abdomen  ; severe  bearing 
down  as  if  the  bowels  would  be  pushed  out  ; pain  in  the  back  as  if 
it  were  broken  ; discharge  of  thick,  dark,  clotted  blood. 

Administration  of  Remedies.  — Of  the  selected  remedy,  dissolve 
twelve  globules  in  half  a cup  of  water,  and  give  a teaspoonful 
every  fifteen  or  twenty  minutes  in  severe  cases  ; in  milder  cases 
every  one  or  two  hours.  If  relief  is  not  obtained  in  two  or  three 
hours  select  another  remedy. 


DISEASES  OF  WOMEN. 


393 


ECLECTIC  AXD  HERBAL. 

When  there  are  symptoms  of  approaching  abortion,  give  two  or 
three  grains  of  the  Compound  Powder  of  Ipecac  and  Opium,  every 
hour  or  two.  If  the  symptoms  still  increase  apply  a mustard 
plaster  to  the  lower  part  of  the  back.  When  the  flooding  is  con- 
siderable give  ten  or  fifteen  drops  of  the  Elixir  of  Vitriol,  in  a 
wine  glass  of  water,  every  two  or  three  hours  ; at  the  same  time 
cloths  wet  in  ice  water,  may  be  applied  to  the  lower  part  of  the 
abdomen.  The  oil  of  Fleabane,  or  the  oil  of  Fireweed  may  be 
given  in  doses  of  five  or  six  drops  on  sugar,  every  ten  or  twenty 
minutes  if  necessary.  If  the  flooding  is  very  great,  give  one  and 
a half  grains  of  Sugar  of  Lead,  in  some  vinegar  and  water.  If 
there  is  much  pain  give  five  or  six  drops  of  Laudanum.  The 
vagina  or  birthplace  may  be  plugged  with  cloths  wet  in  a strong 
solution  of  Alum,  or  a decoction  of  White  Oak  Bark. 

ALLOPATHIC. 

If  the  patient  is  of  full  habit,  and  there  is  a sense  of  fullness, 
ten  or  a dozen  leeches  may  be  applied  to  the  lower  part  of  the 
abdomen  and  back,  and  the  following  mixture  be  taken. 

Citric  Acid,  ------  1 drachm. 

Bi-carbonate  of  Potash,  - - - 4 scruples. 

Nitre, 2 “ 

Cinnamon  Water,  - - - * -2  ounces. 

Water, 4 “ 

Mix.  Dose,  one-fourth  part,  every  four  hours ; or 

Bi-carbonate  of  Potash,  2 drachms. 

Simple  Syrup,  - - - - - - 2 “ 

Distilled  Water.  -----  6 ounces. 

Mix.  Dose,  two  tablespoonfuls,  to  each  dose  of  which  add  a 
tablespoonful  of  fresh  lemon  juice,  or  fifteen  grains  of  Citric  acid, 
previously  dissolved  in  a tablespoonful  of  water ; to  be  drank 
while  effervescing.  If  the  bowels  are  confined,  the  following  is 
recommended : 

Sulphate  of  Magnesia,  l-£  ounces. 

Compound  Infusion  of  Roses,  - - - 5 “ 

Cinnamon  Water,  -----  1 ounce. 

Mix.  Dose,  two  tablespoonfuls. 

It  is  better  to  avoid-  bleeding,  or  giving  the  above  mixtures,  and 
when  these  are  not  used,  give  thirty-five  or  forty  drops  of  Lauda- 
num, and  repeat  at  intervals,  in  smaller  doses. 


394 


OUR  FAMILY  PHYSICIAN. 


When  the  discharge  is  very  profuse,  the  following  pills  must  be 
given  : 

Acetate  of  Lead,  - - - - - 2 grains. 

Extract  of  Poppies,  - - - - 2 “ 

Mix,  for  a pill  to  be  taken  every  three  or  four  hours  ; or  mis 
five  grains  of  powdered  alum,  with  three  grains  of  grated  nutmeg 
mixed  in  honey  or  syrup,  and  taken  every  half  hour  or  hour, 
according  to  severity  of  symptoms.  This  is  recommended  by  Dr. 
C.  D.  Meigs,  of  Philadelphia. 

Note . — When  the  abortion  cannot  be  prevented,  the  case  must 
be  treated  as  one  of  natural  labor. 

False  Pains. 

Frequently  for  some  weeks  or  months  previous  to  delivery,  the 
woman  is  annoyed  with  what  are  called  u false  pains.”  These 
closely  resemble  true  labor  pains,  and  very  often  cause  the  patient 
needless  alarm.  They  may  be  known  by  the  fact  that  they  are 
irregular  in  returning,  and  usually  confined  to  the  muscles  of  the 
back  and  abdomen,  and  shift  from  the  back  to  the  sides. 

TREATMENT.  — ECLECTIC  AND  HERBAL. 

If  the  bowels  are  constipated,  give  the  following  injection  : 

Warm  Water,  .....  1 pint. 

Salt, * 2 teaspoonfuls. 

Common  Molasses,  - - ' - - 2 tablespoonfuls. 

After  the  bowels  have  been  opened,  give  & small  teaspoonful  of 
Paregoric,  and  repeat  every  two  hours,  unless  sooner  relieved. 

ALLOPATHIC. 

The  following  is  a good  liniment  which  may  be  rubbed  over  the 
seat  of  pain : 

Ammonia,  ......  2 ounces. 

Tincture  of  Opium,  ....  2 u 

Soap  Liniment.  .....  1 ounce. 

Shake  before  using. 

HOMEOPATHIC. 

Bryonia.  — When  the  pain  is  in  the  abdomen  and  loins,  and  is 
of  a dragging  character. 

Pulsatilla.  — When  the  pains  are  similar  to  the  former,  with  a 
feeling  of  stiffness,  or  lameness. 

Nux  Vomica.  — When  there  is  a pain  as  if  from  a bruise  in  the 


DISEASES  OF  WOMEN. 


395 


region  of  the  bladder,  and  when  the  pains  are  excited  by 
constipation. 

Aconite.  — Especially  in  women  who  are  full  blooded  ; head  hot ; 
skin  dry.  Belladonna  may  be  given  in  alternation  with  Aconite. 

Administration  of  Remedies.  — Of  the  remedy  selected,  dissolve 
twelve  globules  in  twelve  teaspoonfuls  of  water,  and  give  a tea- 
spoonful every  half  hour,  hour,  two,  or  three  hours,  according  to 
the  urgency  of  the  symptoms. 

Preparation  of  the  Breasts. 

Frequently  young  mothers  from  carelessness  in  early  life,  find 
difficulty  in  nursing  their  children  on  account  of  the  nipples  being 
almost  obliterated  from  compression  in  wearing  tight  dresses,  cor- 
sets, etc.  The  breasts  of  a pregnant  woman  should  be  carefully 
guarded  from  pressure  as  it  will  be  likely  to  have  an  injurious 
effect.  If,  however,  the  nipple  is  not  sufficiently  drawn  out  so  as 
to  be  easily  grasped  by  the  child,  it  may  be  done  with  a common 
breast  pump,  and  after  the  pump  is  removed,  place  around  the  nipple 
a ring  of  beeswax,  or  a nipple  shield.  This  should  be  constantly  worn. 
If  the  operation  of  drawing  out  the  nipple  excites  pain  in  the  abdo- 
men, it  should  not  be  persisted  in  as  it  may  produce  abortion. 

Dr.  Tracy  suggests  the  following  for  keeping  the  nipples  prom- 
inent after  having  been  once  drawn  out : 

Each  nipple  should  be  wound  with  a bit  of  woolen  thread  or 
yarn,  two  or  three  times  around  the  base,  and  tied  moderately 
tight,  but  not  so  tight  as  to  interfere  with  the  circulation  of  the 
blood. 

The  nipples  during,  or  after  pregnancy,  are  liable  to  become 
cracked  and  inflamed,  and  this  happens  especially  after  the  child 
begins  to  nurse,  therefore  for  several  weeks  previous  to  delivery, 
the  breasts  should  be  frequently  bathed  in  cold  water,  and  rubbed 
with  coarse  towels.  Sometimes  bathing  the  nipple  and  breasts  with 
brandy  twice  a day  for  several  weeks  previous  to  confinement  will 
be  found  beneficial.  Or  using  a decoction  of  green  tea,  or  a decoc- 
tion of  Oak  bark,  or  Pomegranate.  Should  there  be  tenderness  or 
goreness,  bathe  the  nipples  and  breasts  frequently  in  a weak  solu- 
tion of  Arnica. 


896 


OUR  FAMILY  PHYSICIAN. 


CHAPTER  V. 

Confinement  or  Parturition. 

Labor. 

BY  labor  we  mean  the  effort  of  nature  by  which  the  womb  ex- 
pels its  contents,  consisting  of  the  child,  after-birth,  membranes 
and  fluids.  It  takes  place  generally  at  the  end  of  the  ninth  month 
after  conception,  or  two  hundred  and  eighty  days  from  the  com- 
mencement of  pregnancy.  Sometimes,  however,  it  takes  place 
before  or  after  this  time. 

Symptoms . — The  symptoms  of  approaching  labor  are,  a settling 
down  of  the  womb  which  relieves  the  female  very  much,  causing 
her  to  have  a lighter  feeling,  and  there  is  also  an  escape  of  bloody 
mucus,  called  the  “ show  the  woman  is  agitated  and  nervous  ; 
there  is  irritation  of  the  bladder  with  frequent  desire  to  urinate ; 
sometimes  nausea  and  vomiting,  and  flying  pains  through  the 
abdomen. 

Labor  may  be  divided  into  natural  and  preternatural.  If  the  labor 
is  sufficiently  strong  to  expel  the  contents  of  the  womb  within  a 
moderate  time  without  danger  to  the  mother  or  child,  it  is  called 
natural  labor.  If,  however,  it  is  difficult,  long  continued,  and 
there  are  detentions  on  account  of  an  improper  position  of  the 
child,  or  if  convulsions  or  hemorrhages  occur,  it  is  called  preter- 
natural labor.  The  time  occupied  in  natural  labor  is  generally 
from  six  to  eight  hours. 

As  soon  as  the  first  symptoms  of  labor  appear,  the  female  should 
make  preparations  for  the  coming  event.  The  bed  should  be  a 
hard  mattress,  (feathers  should  not  be  used)  over  the  mattress  an 
oil  cloth,  or  rubber  cloth  should  be  spread,  if  convenient,  so  as  to 


DISEASES  0 E WOMEN. 


397 


prevent  it  becoming  soiled,  b y the  discharges,  and  several  blankets 
spread  over  this  ; the  clothing  should  be  light,  so  as  not  to  over- 
heat the  patient,  and  her  night  dress  should  be  tucked  up  under  her 
arms,  so  as  not  to  become  soiled.  She  should  lie  on  her  left  side 
with  her  knees  bent  on  her  body,  and  a folded  pillow  placed  be- 
tween the  knees.  During  the  violent  pains  in  the  last  stage,  she 
may  be  allowed  to  puli  on  a sheet  tied  to  the  bedpost.  There 
should  be  conveniently  at  hand,  a sharp  scissors,  and  two  pieces  of 
strong  cord  for  cutting  and  tying  the  cord  of  the  child. 

Labor  Pains. 

The  pains  of  labor  are  peculiar,  being  of  a grinding  or  cutting 
character,  and  are  caused  by  the  contraction  of  the  muscular  tissue 
of  the  uterus  on  the  child.  During  the  first  stage  of  labor  the 
water  is  generally  discharged.  This  is  a collection  of  fluid  which 
surrounds  the  child,  and  is  enclosed  in  the  membranes.  It  serves 
to  protect  the  child  during  pregnancy. 

v The  second  stage  of  labor  is  the  period  between  the  discharges 
of  the  water,  until  the  birth  of  the  child.  After  the  first  stage, 
the  female  is  generally  free  from  pain  for  a time.  The  pains  of 
the  second  stage  are  different  from  those  of  the  first,  being  of  a 
forcing  down  character. 

Delivery. 

The  most  violent,  cutting  pains  occur  just  before  delivery  and 
are  of  short  duration,  but  of  such  a nature  that  although  they  are 
very  painful,  they  rather  strengthen  the  patient,  by  arousing  her 
energies  to  the  utmost.  The  patient  will  be  likely  to  make  violent 
exclamations  which  should  not  alarm  those  in  attendance,  as  they 
are  of  good  import,  signifying  that  the  end  of  the  labor  is  close  at 
hand.  The  woman  should  be  encouraged  by  kind,  consoling  words. 
Just  when  the  child  is  appearing,  the  attendant  should  place  her 
hand  between  the  legs  of  the  woman  to  prevent  the  tearing  of  the 
tightly  drawn  skin  at  this  point.  When  the  child  is  born,  it 
should  be  removed  five  or  six  inches  from  the  mother  and  the 


398 


OUK  .FAMILY  PHYSICIAN. 


cord  should  be  tied  with  the  strings  before  provided.  The  first 
ligature  should  be  tied  about  two  inches  from  the  child’s  navel, 
and  the  other  four  inches,  each  secured  by  a double  knot  ; after 
having  secured  the  cord  with  tb*  ligatures,  it  should  be  cut  with 
the  scissors  between  the  ligatures.  One  thing,  however,  should 
be  observed  before  the  cord  is  tied  ; that  is,  whether  the  child 
breathes  or  cries.  If  the  child  shows  no  signs  of  life,  the  mouth 
should  be  opened,  which  will  relieve  it  of  the  collection  of  mucus  ; 
if  however,  this  is  not  effectual,  the  cord  should  be  tied  and  cut, 
and  the  child  placed  in  a warm  bath.  If,  after  a few  minutes,  this 
plan  does  not  succeed,  it  should  be  taken  from  the  bath,  wiped  dry 
and  placed  in  a flannel  blanket.  Artificial  breathing  should  be 
then  attempted,  which  may  be  done  as  follows  : 

The  thumb  and  forefinger  should  be  placed  upon  the  nostrils  so 
as  to  close  them,  then  place  your  mouth  to  that  of  the  child,  and 
blow  into  the  lungs  ; the  breast  should  be  pressed  so  as  to  expel 
the  air  thus  introduced.  This  process  should  be  continued  until 
there  is  no  possible  hope  of  recovering  the  child.  If,  however, 
life  shows  itself  slowly,  the  child  may  be  rubbed  with  Alcohol  oi 
Whiskey  diluted  with  warm  water.  Sometimes  dashing  cold  wa- 
ter in  the  face  or  chest  of  the  child  will  arouse  it. 

After  the  delivery  of  the  child,  the  woman  experiences  much 
relief  and  is  entirely  free  from  pain  for  a time,  when  the  third 
stage  commences,  and  the  after-birth  or  placenta  is  expelled. 
Strong  pulling  should  not  be  attempted  to  remove  the  after-birth, 
as  there  is  danger  of  turning  the  womb  inside  out ; generally  a 
few  pains  will  suffice  to  expel  it. 

Treatment  After  Delivery. 

A bandage  should  be  placed  around  the  body  of  the  woman,  suf- 
ficiently tight  to  give  support  to  the  relaxed  abdomen.  Her 
garments  should  be  changed,  if  soiled,  and  she  should  then  be 
placed  in  a comfortable  position,  in  a darkened  room,  and  should 
not  be  disturbed  by  her  friends.  Cloths  should  be  loosely  laid  over 
the  private  parts  to  receive  the  discharges  so  that  they  may  not 
soil  her  garments* 


DISEASES  OF  WOMEN, 


399 


Dressing  the  Navel. 


The  navel  should  be  fixed  so  that  it  may  not  come  in  contact 
with  the  healthy  skin.  To  secure  this,  make  a hole  large  enough 
to  admit  the  cord,  in  the  centre  of  a piece  of  muslin  or  linen  about 
four  inches  square  ; pull  the  navel  through  this,  leaving  the  cloth 
lying  upon  the  child’s  belly,  then  apply  a bandage  around  the  body 
of  the  child  confining  the  cord  to  the  belly. 


The  room  of  the  patient  after  delivery,  for  the  first  two  or  three 
days  should  be  darkened,  and  after  this  time,  the  light  be  freely 
admitted.  Ventilation  should  be  carefully  attended  to,  and  fresh 
air  admitted,  being  careful,  however,  not  to  expose  the  patient  to 
a draft.  The  temperature  of  the  room  should  be  such  as  will  be 
most  agreeable  to  the  feelings  of  the  patient,  and  should  generally 
range  somewhere  between  sixty -five  and  seventy-five  degrees. 


After  the  expulsion  of  the  child  and  after-birth,  the  contractions 
of  the  womb  still  continue  with  more  or  less  force,  causing  consid- 
erable suffering.  They  generally  commence  half  an  hour  after 
delivery,  and  close  within  one  or  two  days,  although  they  may  con- 
tinue longer.  They  serve  to  diminish  the  size  of  the  womb  and 
expel  its  contents.  Sometimes,  however,  they  are  very  severe, 
and  continue  longer  than  is  desirable. 


Dose,  one  teaspoonful  in  a wineglass  of  sweetened  water,  every 
two  hours. 


Light,  Temperature  and  Ventilation. 


After  Pains. 


TREATMENT. ALLOPATHIC 


The  following  may  be  given  : 

Tinct.  of  Aconite, 
Camphor  Water, 
Laudanum,  - 
Simple  Syrup, 


30  drops. 

1 ounce. 

1 drachm 
1 ounce. 


400 


OUR  IAMILY  PHYSICXAJT, 


HOMEOPATHIC. 

Chamomilla.  — May  be  given,  when  the  patient  feels  nervous 
and  excitable,  and  follow  it  in  about  an  hour  with  Nux  Vomica. 
Several  doses  of  each  may  be  given  if  necessary. 

Ooffea  and  Aconite.  — May  be  given  in  alternation  (turn  about) 
when  the  pains  are  intense,  and  when  there  is  coldness  of  the 
body. 

Pulsatilla.  — May  be  given,  when  the  pains  do  not  return  very 
frequently,  but  continue  for  several  days. 

Secale.  — Suitable  for  persons  who  have  borne  many  children. 

Belladonna.  — If  the  pains  are  bearing  down,  and  there  is  con- 
gestion, and  heat  in  the  head,  flushed  face,  cold  feet ; may  be  given 
in  alternation  with  Opium,  if  the  patient  has  an  unusual  disposi- 
tion to  sleep  accompanied  with  snoring  breathing. 

ECLECTIC  AND  HEBBAI*. 

The  application  over  the  abdomen  of  a fomentation  of  equal 
parts  of  hops  and  tansy,  with  a little  whiskey  or  other  spirits, 
will  be  found  beneficial.  The  application  should  be  renewed 
several  times  a day. 


Flooding,  ( Homorrhage .) 

This  is  one  of  the  most  dangerous  symptoms  which  may  come 
©n  during  labor.  Its  appearance  is  generally  unexpected,  and 
requires  immediate  and  vigorous  management.  It  is  more  fre- 
quently met  with  after  the  child  has  been  born.  It  is  sometimes 
caused  by  mental  emotion,  such  as  joy  or  sorrow. 

The  region  over  the  womb  should  be  rubbed  with  the  hand  until 
after-pains  appear,  at  the  same  time  give  the  following  remedies  : 

Belladonna.  — When  there  are  bearing  down  pains,  as  if  every- 
thing would  fall  out  from  the  private  parts. 

Chamomilla.  — When  her  limbs  are  cold,  and  there  are  pains 
similar  to  those  of  labor. 

China . — May  be  given  in  alternation  (turn  about)  with  Ipecac, 
when  there  is  giddiness  and  loss  of  consciousness,  fainting,  pale- 
ness of  the  face,  cutting  pains  through  the  abdomen.  This  will 
sometimes  answer  for  the  worst  cases. 

Pulsatilla.  — When  the  discharge  is  clotted,  and  appears  at 
intervals,  ceases  and  reappears  ; may  be  followed  by  Crocus,  or 
Sabina 

A drop  of  the  tincture  of  Cinnamon  in  a tumbler  half  full  cf 


DISEASES  OF  WOMEN. 


401 


water,  and  a teaspoonful  given  every  few  minutes  will  sometimes 
prove  serviceable.  Cloths  dipped  in  ice  water  should  be  applied 
over  the  abdomen  and  privates,  or  pounded  ice  in  bags.  rlhe 
patient  should  be  allowed  to  drink  freely  of  cold  water. 

Administration  of  Remedies.  — Of  the  remedy  selected,  dissolve 
twelve  globules  in  twelve  teaspoonfuls  of  water,  and  take  a tea- 
spoonful every  fifteen  minutes  or  half  hour,  lengthening  the  inter- 
vals as  improvement  becomes  manifest. 

ECLECTIC  AND  HERBAL. 

If  the  flooding  occurs  before  the  removal  of  the  after-birth, 
means  should  be  taken  to  remove  this,  and  the  womb  should  be 
stimulated  to  contraction  by  pressing  firmly  over  it.  Cloths  wet 
in  cold  water  should  be  applied  over  the  external  parts.  The 
tincture  of  Cinnamon  may  be  given  in  doses  of  a teaspoonful  in  a 
wineglass  of  sweetened  water,  every  five  or  fifteen  minutes  or  at 
longer  intervals.  A mixture  of  equal  parts  of  Rhatany,  tincture 
of  Cinnamon  and  spirits  of  Turpentine,  in  doses  of  half  a teaspoon- 
ful, may  be  used  with  advantage. 

ALLOPATHIC. 

The  following  pills  may  be  taken : 

Acetate  of  Lead, 2 grams. 

Extract  of  Poppies,  * - - - • 2 “ 

Mix  for  a pill,  and  repeat  every  three  or  lour  hours  ; at  the  same 
time  the  patient  should  drink  vinegar  and  water. 

Duration  of  Confinement. 

It  is  advisable  that  the  woman  should  remain  in  bed  six  or  eight 
days  after  delivery  ; this,  however,  depends  upon  circumstances. 
Many  women  are  better  able,  to  stand  upon  their  feet  within  six 
days,  than  others  within  three  weeks.  If  the  health  of  the  patient 
is  poor,  and  she  is  weak,  the  time  should  be  lengthened  until  she 
is  perfectly  able  to  get  up.  After  the  first  eight  or  nine  days,  she 
may  be  allowed  to  sit  on  an  easy  chair  for  a short  time  every  day. 
She  should  not,  however,  be  allowed  to  walk  about  for  ten  of  fifteen 
days. 

Diet  and  Regimen  during  Confinement. 

By  regulating  the  diet,  many  serious  accidents  may  be  avoided. 
It  may  be  left  in  a great  measure  to  the  desires  of  the  patient. 

26 


402 


OUR  FAMILY  PHYSICIAN. 


Nothing,  however,  should  be  taken  of  a stimulating  nature.  It  is 
important  also  that  the  woman  should  keep  clean  ; such  parts  of 
the  person  as  require  washing,  should  be  cleansed  with  warm  water, 
and  for  the  first  few  days,  this  should  be  repeated  every  few  hours 
She  may  be  allowed  to  drink  black  tea,  cold  water,  either  pure,  or 
with  strawberry  or  raspberry  syrup.  Cocoa  will  sometimes  be 
relished.  Claret  diluted  with  water  will  make  a good  beverage. 

Lochia. 

After  the  delivery  of  the  placenta  or  after-birth,  there  is  a dis- 
charge of  blood  which  continues  for  several  days  ; this  discharge 
takes  place  from  the  mouths  of  the  vessels  in  the  womb  exposed 
by  the  separation  of  the  after  birth  ; for  the  first  three  or  four  days, 
it  is  of  a red  color,  and  then  watery  ; in  the  course  of  six  or  seven 
days  it  becomes  thicker,  and  yellow.  In  some  women  it  ceases  in 
a few  days,  and  in  others  it  continues  for  several  weeks.  The 
suppression  of  this  discharge  is  attended  with  considerable  danger. 

Suppression  of  the  Lochia. 

TREATMENT. ECLECTIC  AND  HERBAL. 

The  bowels  should  be  opened  by  a gentle  cathartic  as  Castor  oil 
or  Epsom  salts,  and  a strong  infusion  of  motherwort  should  be 
administered  ; the  patient  should  drink  it  as  hot  as  possible,  and 
repeat  frequently.  If  there  are  symptoms  of  fever,  apply  warm 
fomentations  of  hops  and  tansy  to  the  abdomen  ; and  a mixture 
composed  of  two  parts  of  tincture  of  Black  Cohosh,  and  one  part 
of  tincture  of  Aconite  root.  Take  e(ght  drops  in  a teaspoonful 
of  water  for  a dose,  and  repeat  every  hour  or  two. 

HOMEOPATHIC. 

Bryonia.  — May  be  given  when  there  is  fullness  and  heaviness  of 
the  head  ; pressure  in  the  temples,  throbbing  headache  ; pain  and 
aching  in  the  small  of  the  back.  If  there  is  high  fever  with  con 
gestion  of  the  head,  and  delirium,  give  Aconite  and  Belladonna  in 
alternation  (turn  about)}. 


DISEASES  OF  WOMEN. 


403 


Pulsatilla.  — May  be  given  when  the  suppression  is  caused  by 
mental  emotions,  or  cold,  particularly  if  there  is  headache,  fever, 
coldness  of  the  feet,  and  frequent  desire  to  pass  water. 

Dulcamara , and  Pulsatilla.  — May  be  given  in  alternation  (turn 
about)  when  the  suppression  is  caused  by  exposure  to  dampness 
and  cold. 

Coffea  and  Chamomilla — May  be  given  in  alternation  (turn  about) 
if  the  patient  is  excited,  restless  and  nervous,  and  there  is  diarrhoea 
and  colic.  Cloths  wet  with  warm  water  should  be  placed  over  the 
abdomen,  and  warm  hip  and  foot  baths  should  also  be  taken. 

Administration  of  Remedies.  — Of  the  selected  remedy,  dissolve 
twelve  globules  in  twelve  teaspoonfuls  of  water,  and  take  one  tea- 
spoonful  every  one,  two,  three,  or  four  hours,  according  to  the 
urgency  of  the  symptoms. 


Excessive  ob  Protracted  Lochia 

When  the  lochia  is  excessive  in  amount,  or  continues  too  long, 
it  is  apt  to  weaken  the  patient. 

TREATMENT.  HOMEOPATHIC. 

Crocus.  — If  the  discharge  is  dark  colored,  black  and  sticky, 
with  a feeling  in  the  abdomen  as  of  something  alive. 

China  and  Ipecac.  — May  be  given  in  alternation  (turn  about)  if 
the  discharge  takes  place  in  paroxysms,  with  dizziness,  nausea, 
fainting,  coldness  of  the  extremities,  paleness  of  the  face,  debility. 

Aconite.  — If  the  discharge  is  of  a deep  red  color.  If  Aconite 
proves  insufficient,  give  Calcarea  Carb. 

Rlius.  — In  cases  where  the  lochia  return  after  they  have  once 
ceased. 

Silicea.  — When  the  lochia  appear  each  time  that  the  infant  is 
put  to  the  breast. 

Administration  of  Remedies.  — Of  the  remedy  selected,  take  six 
globules  every  four  hours  until  better. 

ECLECTIC  AND  HERBAL. 

An  infusion  of  White  oak  bark,  Geranium,  and  Witch  Haxel 
bark  may  be  used  ; the  patient  drinking  freely  of  it.  A mixture 
of  Caulophyllin  and  Geranium  each  one  scruple,  may  be  given  in 
two  grain  doses  every  hour.  Bathe  the  parts  frequently  with  cool 
water 


404 


OUR  FAMILY  PHYSICIAN. 


Milk  Fever. 

About  the  third  or  fourth  day  after  confinement,  the  breasts  be- 
come distended  with  milk,  at  the  same  time  the  patient  experiences 
chill,  followed  by  considerable  fever  and  headache  ; this  is  called 
the  milk  fever.  The  fever  may  generally  be  prevented  by  putting 
the  child  to  the  breast  as  soon  a3  possible.  If  however,  from  any 
cause  the  fever  increases  and  there  is  severe  headache,  thirst, 
quick  pulse,  and  throbbing  of  the  temples,  treatment  should  be 
commenced. 


TREATMENT.  ALLOPATHIC. 

Open  the  bowels  with  the  following  : 

Sulphate  of  Magnesia,  .... 
Nitrate  of  Potash,  - 
Ext.  of  Liquorice,  - 
Compound  Infusion  of  Senna,  - 
Tinct.  of  Senna  or  Jalap, 

Spirit  of  Sal  Volatile,  • - - 


1 ounce. 
10  grains. 

1 scruple. 
5^-  ounces. 
3 drachms 
1 drachm. 


Mix.  Dose,  two  or  three  tablespoonfuls  as  often  as  necessary 
Afterwards  give  the  following  : 

Sulphate  of  Magnesia,  1 ounce. 

Solution  of  Acetate  of  Ammonia,  • - 3 ounces. 

Water,  - - * - • • 3 u 

Laudanum,  J drachm. 

Mix.  Dose,  a tablespoonful  three  times  a day. 


ECLECTIC  AND  HERBAL. 

The  bowels  may  be  opened  with  Seidletz  powders,  and  a warm 
poultice  applied  to  the  breasts.  In  some  cases  the  compound  pow- 
der of  Ipecac  and  Opium  may  be  given  with  advantage. 


HOMEOPATHIC. 

Aconite . — If  there  is  much  fever,  hot  skin,  thirst,  breasts  hard 
and  knotted,  anxiety,  restlessness. 

Bryonia . — When  the  symptoms  have  been  partially  relieved  by 
Aconite,  or  if  the  breasts  are  swollen  with  milk,  painful  oppression 
at  the  chest. 

Belladonna.  — Maybe  given  after,  or  in  alternation  with  Aco- 
nite or  Bryonia,  if  the  head  symptoms  are  violent,  such  as  stupe- 
fying headache,  glistening  eyes,  delirium.  If  the  breasts  are  very 
tender  to  the  touch,  and  the  patient  is  restless  and  excited,  give 
Coffey  and  Chamomilla  in  alternation  (turn  about. ^ 


DISEASES  OF  WOMEN. 


405 


Pulsatilla.  — May  be  given  when  the  breasts  are  much  distended, 
with  soreness  and  rheumatic  pains,  extending  to  the  muscles  of  the 
chest  and  shoulders.  Bathing  the  breasts  with  hot  lard  to  which 
has  been  added  diluted  Arnica  tincture,  and  afterwards  covering  it 
with  raw  cotton,  may  be  beneficial  in  some  cases. 

Administration  of  Remedies . — Of  the  selected  remedy,  dissolve 
twelve  globules  in  twelve  teaspoonfuls  of  water,  and  take  one  tea- 
spoonful every  hour,  two,  three,  or  four  hours,  according  to  the 
severity  of  the  symptoms. 

Suppression  of  the  Milk. 

The  secretion  of  the  milk  may  be  suddenly  suppressed  from  vari- 
ous causes,  such  as  exposure  to  cold  and  dampness,  mental  emo- 
tions, errors  in  eating.  Serious  results  may  follow  this  suppression 
and  it  is  well  to  prevent  it  if  possible. 

TREATMENT. HOMEOPATHIC. 

Pulsatilla.  — This  remedy  will  generally  be  found  sufficient  to 
restore  the  flow  of  milk,  particularly  when  the  suppression  is 
caused  by  cold. 

Belladonna  and  Bryonia.  — Maybe  given  in  alternation  (turn 
about)  when  there  is  congestion  of  the  head  or  lungs,  with  fever 
and  aching  pain  in  the  limbs. 

If  there  is  restlessness,  fever,  heat,  dry  skin  and  thirst,  give 
Aconite  and  Coffea,  in  alternation ; especially  if  the  suppression  is 
caused  by  violent  mental  emotions. 

Calcarea  Carb.  — Is  an  excellent  remedy,  to  be  given  when  the 
suppression  is  frequent,  from  slight  causes. 

Administration  of  Remedies.  — Of  the  selected  remedy  dissolve 
twelve  globules  in  twelve  teaspoonfuls  of  water,  and  take  two 
teaspoonfuls  every  two  or  four  hours. 

Excessive  Secretion  of  Milk. 

It  sometimes  happens  that  the  secretion  of  milk  is  too  abund- 
ant, causing  distension  of  the  breasts,  and  sometimes  inflammation; 
there  will  be  also  involuntary  emissions  of  milk  followed  by  debil- 
ity, headache,  and  other  nervous  disorders. 

TREATMENT. HOMEOPATHIC. 

Calcarea  Carb.  or  Phosphorus,  — Will  generally  afford  relief. 

Aconite  and  Belladonna, — Will  be  found  useful,  when  there  is 
fever  or  headache,  and  other  symptoms  of  congestion. 


406 


DISEASES  OF  WOMEN. 


China . — May  be  given  when  the  milk  flows  involuntarily,  or 
the  person  is  rendered  weak  from  loss  of  milk. 

Administration  of  Remedies.  — Dissolve  twelve  globules  of  the 
selected  remedy,  in  twelve  teaspoonfuls  of  water,  and  take  a tea- 
spoonful every  two,  three  or  four  hours. 

The  external  application  of  cotton  batting  is  advisable. 

Sore  Nipples. 

This  is  a frequent  and  annoying  complaint  and  may  generally  be 
prevented,  if  proper  care  of  the  breasts  is  taken  before  confine- 
ment ; in  some  cases,  however,  the  slightest  cause  will  produce 
soreness.  Frequent  bathing  in  cold  water,  either  pure,  or  with  a 
few  drops  of  Arnica  tincture,  or  Brandy  and  cold  water  will  some- 
times obviate  this  tenderness  and  strengthen  the  skin  ; this  should 
be  used  after  each  time  the  child  has  sucked.  A nipple  shield 
should  be  worn,  and  will  frequently  prevent  or  remove  this 
difficulty. 

TREATMENT. ECLECTIC  AND  HERBAL. 

If  there  is  considerable  inflammation,  apply  a poultice  of  Elm 
bark,  or  Elm  and  Hops.  Sometimes  a solution  of  four  or  five 
grains  of  Nitrate  of  Silver  to  an  ounce  of  water,  may  be  used 
with  advantage.  After  the  severe  inflammation  has  subsided,  use 
the  following : 

Mutton  Tallow,  ^ ounce. 

Balsam  of  Peru,  - - - - - ^ drachm. 

Glycerine,  £ u 

Honey, b “ 

Melt  the  tallow,  strain,  and  then  mix  in  the  other  ingredients. 
Apply  to  the  nipples  four  or  five  times  a day. 

HOMEOPATHIC. 

In  all  cases  after  the  child  has  left  the  breast,  the  nipples  should 
be  washed  with  cold  water  to  which  has  been  added  a few  drops 
of  tincture  of  Arnica  and  they  should  then  be  thoroughly  dried, 
and  the  milk  squeezed  out  of  them,  and  covered  with  powdered 
starch. 

Dr.  H.  R.  Stout,  of  Chicago  speaks  highly  of  powdered  Gum 
Arabic,  to  be  sprinkled  on  the  sore  nipple  after  each  nursing,  and 
of  the  Tincture  of  Benzoin  or  Benjamin,  applied  with  a camel’s 
hair  pencil. 


DISEASES  OF  WOMEN. 


407 


Dr.  Herring,  of  Philadelphia,  recommends  pulverized  white 
sugar,  as  an  excellent  application.  Borax  dissolved  in  the  mucil- 
age of  slippery  elm  is  an  excellent  wash.  Powdered  potter’s  clay 
sprinkled  on  the  nipples  will  often  be  beneficial.  The  internal 
remedies  are  as  follows : 

Chamomilla. — May  be  given  when  the  nipples  are  swollen  and 
inflamed.  If  this  does  not  relieve,  give  the  following  remedies  in 
their  order,  a dose  each  day  for  a week  : 

Nux  Vomica,  Mercury,  Sulphur,  Silicea,  Lycopodium,  Graphites, 
Sepia,  Calcarea  Carb.  The  Chamomilla  may  be  given  every  four 
or  six  hours,  six  globules  at  a dose. 

ALLOPATHIC. 

The  following  washes  may  be  used  with  advantage  : 

Dissolve  either  Alum,  Borax,  Sulphate  of  Zinc,  or  Copper,  in  Rose 
water,  in  the  proportion  of  one  grain  to  the  ounce,  and  apply  to  the 
nipple.  A solution  of  Tannic  Acid  will  be  found  beneficial  some- 
times. 

The  following  is  an  excellent  application : 

Glycerine, I drachm. 

Tannin, I “ 

Mix. 


Broken  Breast,  (Mastitis.) 

Inflammation  of  the  breast,  is  frequently  found  among  nursing 
women.  It  is  generally  caused  by  cold,  or  by  permitting  the 
breasts  to  become  distended  with  milk  ; it  may  also  be  caused  by 
pressure  on  the  breasts,  mechanical  injuries,  etc. 

Symptoms.  — It  generally  commences  with  a chill,  followed  by 
more  or  less  fever  ; slight,  darting  pains  are  felt  in  the  breast 
which  are  increased  by  pressure.  Sometimes  the  pain  extends  to 
the  armpit  ; as  the  inflammation  progresses,  the  breast  swells,  and 
becomes  hard,  knotted,  and  uneven  ; finally  the  skin  assumes  a 
dark  hue  and  matter  forms  ; the  patient  becomes  weak,  irritable, 
and  emaciated.  It  is  sometimes  very  obstinate. 

TREATMENT. HOMEOPATHIC. 

The  first  thing,  of  course,  to  be  done,  is  to  take  out  the  milk  ; 
this  will  relieve  the  distension,  and  the  inflammation  may  be  pre- 
vented. Poultices  of  bread  and  milk,  or  slippery  elm  should  be 


408 


OUR  FAMILY  PHYSICIAN. 


used  ; these  act  by  keeping  up  the  warmth,  and  thus  relieving  the 
distension  of  the  milk  tubes.  A poultice  of  carrots  will  be  found 
useful  in  all  stages  of  this  disease.  Flannel  cloths  wrung  out  in 
hot  brandy  will  sometimes  act  beneficially.  When  the  breast  be 
comes  swollen  and  tender,  Belladonna  and  Bryonia  either  alone,  01 
in  alternation,  should  be  given,  especially  when  the  pains  are 
shooting  and  tearing,  and  there  is  considerable  headache.  If  aftei 
the  inflammation  is  subdued,  there  is  still  hardness,  give  Mercury, 
a dose  every  six  hours.  A plaster  made  of  beeswax  and  sweet  oil 
will  be  found  to  give  relief,  when  there  remain  lumps  or  cakes  in 
the  breast.  When  matter  forms,  which  will  be  known  by  the 
throbbing  pain  in  the  breast,  Hepar  Sulphur  should  be  given  until 
it  breaks,  and  flaxseed  poultices  should  be  applied.  If  there  is  a 
profuse  discharge  of  matter,  take  Phosphorus  alone,  or  in  alterna- 
tion with  Hepar  Sulphur.  Silicea  may  be  given  when  the  dis- 
charge is  watery,  and  when  it  proceeds  from  several  openings,  and 
heals  slowly. 

Graphites  or  Calcarea  Carb.  may  be  used,  especially  in  obstinate 
cases. 

Administration  of  Remedies . — At  the  commencement,  if  Bella- 
donna and  Bryonia  are  taken,  dissolve  twelve  globules  in  twelve 
teaspoonfuls  of  water,  and  take  a teaspoonful  every  hour. 

Other  remedies  may  be  taken  every  three  or  six  hours. 

When  Sulphur,  or  Calcarea  are  used,  a dose  night  and  morning 
will  be  sufficient. 

ALLOPATHIC. 

The  breasts  should  be  kept  well  emptied,  either  by  the  child  or 
by  a breast  pump.  The  following  may  be  frequently  applied  : 

Tincture  of  Belladonna,  1 ounce. 

Tincture  of  Camphor,  - - - - 1 “ 

Mix,  and  apply  to  the  breast  three  or  four  times  a day. 

Warm  vinegar  should  be  used  if  the  swelling  is  not  reduced  by 
the  above  means.  Leeches  may  be  applied  below  the  breast,  so 
as  not  to  interfere  with  the  application  of  the  vinegar.  If  the 
swelling  and  pain  still  continue,  apply  warm  poultices  of  hops’, 
and  take  the  following  internally : 

Tinct  of  Aconite,  -----  2 drachms. 

Acetate  of  Morphine,  - - - 2 grains. 

Sweet  spirits  of  Nitre,  • • • 1 ounce. 

Water,  .......  3 ounces. 

Mix.  Dose,  a teaspoonful  every  hour  until  the  fever  subsides. 


DISEASES  OF  WOMEN. 


409 


then  every  two  or  three  hours.  The  breast  should  be  supported 
by  straps  pf  adhesive  plaster,  applied  below  and  around  it. 

If  the  patient  becomes  reduced,  beer,  porter,  or  wine  may  be 
given.  If  she  is  scrofulous,  use  the  following  : 

Compound  Syrup  of  Stillingia,  - - 8 ounces. 

Iodide  of  Potash,  - - - - 2 drachms. 

Fowler’s  Solution,  ....  H “ 

Mix,  Dose,  two  teaspoonfuls  three  times  a day  in  water. 

ECLECTIC  AND  HERBAL. 

For  the  first  three  or  four  days,  bathe  the  breast  three  times  a 
day  with  a liniment  composed  of  one  ounce  each,  of  Camphor,  Oil 
of  Sassafras  and  Oil  of  Cajeput.  After  each  bathing,  use  the 


following  ointment : 

Finely  cut  Castile  soap, 

1^  ounce. 

Yellow  Beeswax, 

X ounce. 

Lard,  ...  - 

- - - 1 “ 

Melt  by  a gentle  heat,  and  when  nearly  cool,  add  slowly  eight 
drachms  of  Jamaica  spirits  in  which  thirty  grains  of  camphor  have 
been  dissolved.  Cut  a piece  of  linen  the  size  of  the  breast,  leav- 
ing a hole  in  the  centre  for  the  nipple,  then  spread  this  ointment 
on  the  linen,  and  apply  to  the  breast  as  warm  as  can  be  borne. 
It  should  be  removed  every  four  or  six  hours,  and  heated  again,  to 
make  it  soft,  and  reapplied,  first  bathing  with  the  liniment  first 
named.  If  matter  forms,  apply  a poultice  of  Slippery  elm,  or 
bread  and  milk.  Fresh  poke  root  roasted  in  ashes  until  soft,  and 
mashed,  and  mixed  with  equal  quantities  of  powdered  Lobelia  and 
hot  water,  will  be  found  beneficial. 

Constipation  and  Diarbhcea. 

These  may  be  very  dangerous,  especially  the  diarrhoea,  and 
should  be  promptly  treated.  For  the  treatment  see  Section  I, 
Chapter  XII. 

Childbed  Fever.  — ( Puerperal  Peritonitis.) 

This  is  a disease  much  to  be  dreaded,  and  snoiPd  be  treated  by 
no  one  but  an  experienced  physician.  It  is  an  inflammation  of 
the  peritoneum,  or  membrane  lining  the  abdomen,  and  covering  the 
bowels. 

Symptoms.  — Like  most  fevers  it  is  preceded  by  shivering,  sick- 


410 


OUR  FAMILY  PHYSICIAN. 


ness  or  vomiting,  and  pain  in  the  belly,  which  is  sometimes  very 
extended,  or  confined  to  ore  spot  ; the  belly  becomes  as  large  as 
before  delivery,  and  so  tender  that  the  weight  of  the  bed-clothes 
can  scarcely  be  borne  ; the  pains  are  insupportable  ; the  pulse  is 
frequently  small  and  sharp  ; the  skin  hot  ; tongue  white  and  dry, 
or  clean  ; the  patient  is  thirsty  ; vomits  frequently  ; the  milk  and 
lochia  are  sometimes  suppressed  ; breathing  is  difficult  and  there 
is  sometimes  cough  ; the  bowels  are  costive,  or  else  there  is 
diarrhoea.  When  the  disease  terminates  fatally,  the  swelling  and 
tension  of  the  belly  increase,  the  vomiting  continues,  the  pulse  is 
frequent  and  irregular,  the  limbs  are  cold,  and  the  pain  ceases  sud- 
denly, which  is  a sign  of  mortification. 

Causes. — Violence  during  delivery,  taking  cold,  diarrhoea,  sup- 
pressed secretion  of  milk,  severe  mental  emotions. 

TREATMENT.  — ALLOPATHIC. 

The  patient  should  be  freely  bled  at  the  commencement,  or 
leeches  should  be  applied  to  the  abdomen  ; if  leeches  are  used,  a 
poultice  of  flaxseed  or  Indian  meal  should  follow  ; if  no  leeches 
are  used,  flannel  dipped  in  spirits  of  turpentine  may  be  spread 
over  the  belly.  Small  doses  of  Lobelia,  or  Ipecac  sufficient  to  pro- 
duce nausea,  and  a moisture  on  the  skin,  may  be  first  given,  or  the 
tincture  of  Veratrum  Viride,  in  doses  of  from  five  to  ten  drops 
every  hour,  will  frequently  throw  the  patient  into  a profuse  pers- 
piration. The  bowels  should  be  opened  by  injections  of  warm 
water,  or  other  mild  agents.  Opium  and  Calomel,  in  the  propor- 
tion of  half  a grain  of  the  former,  to  one  of  the  latter,  should  be 
given  every  two,  three,  or  four  hours,  according  to  the  urgency  of 
the  symptoms.  If  the  patient  becomes  weak,  Quinine  and  Opium 
may  be  given,  also  beef  tea,  wine,  brandy,  or  whiskey. 

ECLECTIC  AND  HERBAL. 

If  the  disease  commences  with  nausea  and  vomiting,  give  an 
emetic,  and  follow  with  a physic,  which  may  be  as  follows  : 

Podophyllin,  .....  2 grains. 

Leptandrin,  - - ^ - - 4 “ 

Cream  of  Tartar.  -----  10  a 

The  bowels  may  be  injected  with  half  a tablespoonful  of  the 
compound  tincture  of  Lobelia  and  Capsicum,  in  an  ounce  or  two 
of  warm  Boneset,  Senna,  or  Lobelia  tea.  The  abdomen  may  be 


DISEASES  OE  WOMEN. 


411 


jathed  frequently,  with  warm  saieratus  water.  After  the  physic 
aas  operated,  the  patient  may  drink  freely  of  a tea  of  the  tinc- 
ture of  Horsemint,  to  which  may  be  added  Chamomile  flowers,  or 
Mayweed.  The  compound  tincture  of  Virginia  Snakeroot  may  be 
given  to  produce  perspiration.  Dose,  a teaspoonful  every  hour  or 
two  in  a warm  tea  of  Balm,  Catnip  or  Pleurisy  root.  After  per- 
spiration has  been  induced,  the  tincture  should  be  given  in  smaller 
doses,  and  at  longer  intervals.  For  some  cases,  fifteen  or  twenty 
drops  of  a mixture  of  equal  parts  of  Digitalis  and  Stramonium 
repeated  every  hour  or  two,  will  be  found  beneficial.  Hot  fomen- 
tations of  Hops  and  Tansy  may  be  placed  over  the  abdomen,  fre- 
quently renewing  them.  Stramonium  leaves  are  valuable  as  an 
application  to  the  abdomen  ; they  should  be  bruised,  warmed  and 
applied  as  a fomentation.  If  the  tongue  is  much  coated,  and  the 
fever  continues,  give  equal  parts  of  powdered  Bloodroot,  Blue 
Flag  root,  and  Nitre,  in  doses  of  fifteen  grains  every  three  hours. 
Mustard  drafts  may  be  applied  to  the  back  of  the  neck,  feet,  and 
inside  of  the  thighs. 

HOMEOPATHIC. 

Aconite . — Is  the  first  remedy,  especially  if  the  disease  commen- 
ces with  a chill,  and  is  succeeded  by  a hot  and  dry  skin,  and  quick 
pulse. 

Belladonna.  — If  there  are  sharp  pains  in  the  abdomen,  with  a 
dragging  sensation,  throbbing  pains  in  the  head,  face  flushed, 
glassy  appearance  of  the  eyes,  retention  of  urine,  excessive  ten- 
derness of  the  abdomen. 

Bryonia.  — Extreme  sensitiveness  of  the  abdomen,  constipation, 
with  shooting  pains  in  the  abdomen.  May  be  given  in  alternation 
with  Aconite. 

Pulsatilla.  — "Where  the  attack  is  mild  in  the  beginning,  great 
pressure  downward,  with  frequent  desire  to  pass  water. 

Other  remedies  are  Apis,  Arnica,  Arsenicum,  Hyosciamus,  Cham- 
omilla,  Rhus. 

Administration  of  Remedies.  — At  the  commencement,  it  is  best 
to  give  Aconite  and  Belladonna  in  alternation  (turn  about)  every 
one,  two,  three,  or  four  hours,  according  to  the  urgency  of  the 
symptoms.  Give  ten  or  twelve  globules  at  a dose.  Other  reme- 
dies are  to  be  given  in  the  same  manner. 

Milk  Leg,  ( Phlegmasia  Alba  Dolens .) 

It  was  once  supposed  that  this  disease  was  caused  by  milk 
flowing  into  the  woman’s  leg  ; this  however  is  of  course  impossible. 

Symptoms.  — There  will  be  uneasiness  or  pain  in  the  lower 


412 


OUR  FAMILY  PHYSICIAN. 


part  of  the  bowels  extending  through  the  hips  ; sometimes  there 
are  no  preceding  symptoms,  but  the  disease  commences  with  vio- 
lent chills,  succeeded  by  fever  and  accompanied  with  severe  pain 
in  the  thigh  ; in  a day  or  two  the  pain  diminishes,  and  the  limb 
begins  to  swell,  beginning  generally  in  the  groin  and  extending 
downwards.  Sometimes,  however,  the  swelling  attacks  the  calves 
of  the  legs  first  and  advances  upwards  ; the  skin  is  very  smooth 
and  glossy,  and  hard  and  painful  to  the  touch,  and  the  limb  feels 
heavy  and  stiff.  In  connection  with  the  difficulty  in  the  limb, 
there  is  fever  with  small  and  rapid  pulse,  thirst,  sleeplessness,  etc. 

TREATMENT.  ECLECTIC  AND  HERBAL. 

The  bowels  should  be  freely  purged  with  the  compound  powder 
of  Jalap,  to  which  should  be  added  to  each  dose,  ten  or  fifteen 
grains  of  Cream  of  Tartar.  This  should  be  repeated  every  two 
or  three  days  during  the  inflammation.  The  leg  should  be  bathed 
with  a solution  of  salt,  vinegar  and  water,  and  occasionally  with 
an  infusion  of  bitter  herbs,  as  Boneset,  Hops  and  Tansy.  The 
following  liniment  may  be  used  with  benefit  : 

Sweet  Oil,  2 ounces. 

Spirits  of  Camphor,  - - - • 2 “ 

Creosote,  - 1 ounce. 

Laudanum,  ------  I “ 

Mix,  and  apply  twice  a day.  An  infusion  of  hops  and  vinegar 
may  be  used  as  another  application  to  the  limbs. 

Tea  made  of  Smart  weed  and  May  weed,  may  be  drank  freely 
to  promote  sweating.  If  the  disease  becomes  chronic,  the  limb 
should  be  steamed  daily,  over  a hot  decoction  of  Boneset,  Tansy 
and  hops,  and  the  liniment  first  mentioned  should  be  used. 

HOMEOPATHIC. 

Aconite.  — If  there  is  high  fever,  and  burning  pain,  and  heat. 

Belladonna.  — Is  probably  the  best  remedy  at  the  commencement 
of  most  cases,  especially  when  the  pains  are  sharp  and  stitching* 
heaviness  in  the  thighs  and  lower  part  of  the  abdomen ; violent 
fever  with  burning  thirst. 

Bryonia.  — When  there  are  shooting,  or  sharp  pains  from  the  hip 
to  the  foot,  with  sweating ; excessive  tenderness  to  the  touch,  or 
on  motion.  This  may  be  given  in  alternation  with  Rhus. 


DISEASES  OF  WOMEN. 


413 


Pulsatilla.  — If  Belladonna,  or  Bryonia,  do  not  effect  an  im- 
provement. 

Other  remedies  are  Arsenicum,  Sulphur,  Nux  Yomica. 

Administration  of  Remedies . — Of  the  remedy  selected,  give  six 
globules  once  in  two  hours. 


ALLOPATHIC. 


Flannel  dipped  in  hot  water  and  vinegar,  should  be  applied  to 
the  whole  limb,  this  should  be  repeated  frequently. 

Bathing  the  limb  with  a mixture  of  warm  Sweet  oil  two  parts, 
and  Laudanum  one  part,  and  covering  with  flannel,  will  be  found 
beneficial.  The  application  of  hot  water  and  vinegar,  and  Sweet 
Oil  and  Laudanum,  may  be  alternated  every  five  or  six  hours.  If 
the  bowels  are  confined,  let  the  patient  take  the  following  : 

Powdered  Senna,  .....  £ drachm. 

“ Jalap,  - - - • - 10  grains. 

“ Cloves, 10  “ 

Mix,  and  take  at  one  dose  in  sweetened  water.  The  following 
will  be  beneficial : 


Infusion  of  Digitalis, 
Acetate  of  Potash,  - 
Sweet  Spirits  of  Nitre,  • 
Cinnamon  water, 


4 ounces. 
2 drachms 
2 “ 

1-J-  ounces. 


Mix.  Dose,  a tablespoonful  every  four  or  fire  hours. 

Tincture  of  Veratrum  Yiride,  given  in  doses  sufficient  to  cause 
gentle  perspiration  should  be  given  during  the  inflammation. 


Nursing  Sore  Mouth. 

Nursing  women  sometimes  suffer  terribly  from  nursing  sore 
mouth.  The  whole  inside  of  the  mouth  becomes  very  red  ; and  go 
tender  as  to  make  it  difficult  for  the  patient  to  eat  any  solid  food. 

If  the  disease  is  obstinate,  and  the  patient  becomes  reduced,  it 
will  be  absolutely  necessary  to  wean  the  infant,  when  the  disease 
will  vanish. 

TREATMENT . — HOMEOPATHIC . 

Mercury.  — Is  the  most  important  remedy,  and  may  be  given  in 
alternation  with  Nux  Yomica,  or  China  ; especially  with  China  if 
there  is  great  debility,  and  exhaustion. 


114 


OUR  FAMILY  PHYSICIAN. 


Nitric  Acid.  — May  be  given  if  Mercury  does  not  relieve.  Bor- 
ax and  Sulphur  are  also  prominent  remedies. 

Administration  of  Remedies.  — Take  six  globules  once  every  six 
or  eight  hours,  or  oftener,  if  the  case  is  severe.  When  taking 
Sulphur,  a dose  night  and  morning,  will  be  sufficient. 

ALLOPATHIC. 

The  following  may  be  taken  to  remove  the  constipation  of  the 
bowels : 

Fluid  Extract  of  Senna,  ...  2 drachms. 

Fluid  Extract  of  Jalap,  - - - - 2 “ 

Infusion  of  Cloves,  ....  2 ounces. 

Mix,  and  take  at  one  dose. 

The  following  tonic  will  be  useful  in  some  cases : 

Tartrate  of  Iron,  ...  - 40  grains. 

Water,  ......  2 ounces. 

Syrup  of  Ginger,  ^ ounce. 

Mix.  Dose,  twenty  to  forty  drops  every  three  hours. 

As  a gargle  use  the  following  : 

Decoction  of  Peruvian  Bark, 

Syrup  of  Orange  Peel, 

Chloride  of  Soda, 

Mix.  Or  this : 

Chloride  of  Iron,  - 

Strong  Hydrochloric  Acid, 

Water, 

Mix. 

ECLECTIC  AND  HERBAL. 

Iodide  of  Potassa  is  an  excellent  remedy : 

Dissolve  two  drachms  in  four  ounces  of  water,  and  take  a tea- 
spoonful  twice  a day.  As  a gargle,  a decoction  of  Bayberry  bark, 
yellow  root  and  Shumac  berries,  and  a little  burned  Alum,  or 
Borax,  will  be  found  useful. 


3 ounces. 
1 ounce. 

1 “ 

£ ounce. 
40  drops. 
1 pint. 


SECTION  III.— DISEASES  OF  INFANTS. 


Clothing  of  Infants. 


THE  clothing  of  Infants  should  be  such  as  will  allow  full  play 
to  their  limbs,  and  be  thick  enough  to  protect  them,  and  keep 
them  warm.  Flannel  is  the  best  material  of  which  to  make  under- 
clothes for  infants,  for  several  reasons  : first,  it  is  a non-conductor 
of  heat,  preventing  the  too  rapid  escape  of  the  animal  heat  from 
the  body  ; second,  in  producing  a healthful  irritation,  by  means  of 
which  an  insensible  perspiration  is  promoted.  The  clothing  should 
be  light,  so  as  not  to  encumber  the  child,  and  should  be  simple,  so 
that  it  may  be  easily  taken  off  and  put  on  ; and  should  be  loose, 
so  as  to  leave  room  for  growth  and  expansion  of  the  form. 

With  regard  to  clothing,  Dr.  Tracy  says  in  his  “Mother  and 
her  Offspring.” 

“ I do  not  wish  to  dictate  to  your  taste,  further  than  is  neces- 
sary to  secure  to  your  child  that  which  will  be  warm,  light  and 
loose.  It  must  at  once,  be  evident  to  you,  that  short  sleeves,  and 
low  necked  dresses  are  never  to  be  named  as  suitable  for  children.” 
The  flannel  used  should  be  white  and  fine,  and  be  frequently 
©hanged,  so  as  to  keep  the  body  in  a state  of  cleanliness. 


416 


OUR  FAMILY  PHYSICIAN. 


Apparent  Death,  (Asphyxia.) 

It  sometimes  happens  that  when  the  labor  has  been  a long  and 
severe  one,  that  the  child  when  born,  appears  as  if  dead,  and 
requires  immediate  attention.  Place  the  child  in  such  a position 
that  the  circulation  through  the  cord  will  be  free.  Cleanse  the 
mouth  of  the  mucus,  and  wrap  the  body  in  soft  warm  flannels,  and 
rub  the  feet  and  hands  and  the  spinal  column  with  the  open  hand. 
These  means  will  generally  re-establish  the  circulation,  the  pulsa- 
tion or  beating  in  the  cord  will  appear,  and  breathing  will  soon  fol- 
low, when  the  cord  may  be  tied  and  cut.  After  five  or  ten  minutes 
have  been  spent  in  this  way,  and  there  is  still  no  sign  of  life,  the 
cord  must  be  tied  and  cut,  and  the  infant  placed  in  a warm  bath ; 
still  continue  the  rubbing  of  the  spine,  feet  and  hands  ; dip  your 
hand  into  cold  water  or  spirits,  and  rub  the  breast,  or  pour  a 
stream  of  cold  water  from  a teapot,  from  a height  of  two  or  three 
feet,  upon  the  chest.  If  all  this  is  unsuccessful,  the  lungs  must 
be  artificially  filled  with  air.  This  may  be  done  by  placing  over 
the  mouth  a loose  silk  handkerchief,  to  break  the  force  of  the 
oreath,  and  breathing  gently  into  the  mouth,  at  the  same  time 
closing  the  child’s  nose,  between  the  finger  and  thumb,  to  prevent 
the  air  escaping ; when  the  lungs  are  filled,  gently  compress  the 
chest  to  expel  the  air,  and  so  continue  to  inflate,  and  expel  the 
air  for  a long  time.  Slight  shocks  of  electricity  may  be  useful ; 
apply  one  pole  to  the  upper  part  of  the  spine,  and  the  other  to  the 
breast  bone. 


Diet  of  a New  Born  Infant. 

The  proper  diet  of  course,  for  an  infant,  is  the  mother’s  milk  ; 
and  to  this  it  should  be  he  confined,  until  a portion  at  least  of  the 
teeth  are  cut. 

Immediately  after  the  birth  of  the  infant,  it  should  be  allowed 
to  sleep  for  six  or  eight  hours  near  the  mother,  and  then  put  to 


DISEASES  OF  INFANTS. 


417 


the  breast,  even  if  there  is  no  milk.  In  case  the  secretion  of  milk 
nas  not  commenced,  it  may  be  fed  with  equal  parts  of  milk  and 
warm  water,  sweetened  with  loaf  sugar  or  a little  molasses  and 
water.  An  infant  should  have  the  breast  about  every  three  hours 
during  the  day  time,  and  every  six  or  eight  hours  during  the  night. 
Regularity  should  be  practiced  in  the  administration  of  its  food, 
giving  it  at  regular  periods.  It  is  well  to  wash  its  mouth  after 
every  feeding,  as  it  may  prevent  the  thrush. 

Swelling  and  Elongation  of  the  Head. 

It  very  often  happens,  especially  after  a severe  and  protracted 
labor,  that  the  head  of  the  child  is  so  drawn  out  as  to  be  badly 
deformed,  and  this  circumstance  may  occasion  alarm  to  the  friends  ; 
this  difficulty,  however,  will  disappear  in  a day  or  two.  Washing 
the  head  with  a weak  solution  of  tincture  of  Arnica  will  some- 
times hasten  its  removal. 

Swelling  of  the  Bbeasts. 

Sometimes  at  birth,  or  soon  after,  the  breasts  of  the  infant  are 
swollen  and  inflaipined  ; this  may  generally  be  reduced  by  cover- 
ing the  breast  with  a piece  of  lint  or  soft  linen,  dipped  in  sweet 
oil.  Under  no  circumstances  should  the  breasts  be  squeezed  under 
the  impression  that  there  is  milk,  or  other  fluid  which  should  come 
out,  as  this  may  produce  violent  inflammation. 

The  Meconium. 

This  is  a dark,  green  substance,  which  collects  in  the  bowels  of 
the  child  before  birth.  It  should  be  removed  as  soon  after  birth  as 
possible,  and  the  best  medicine  for  this,  is  the  milk  of  the  mother. 
If,  however,  it  does  not  come  away  for  a day,  a slight  dose  of 
Castor  oil  may  be  given. 

.27 


418 


OUR  FAMILY  PHYSICIAN. 


Mental  Emotions  Affecting  the  Milk. 

The  nursing  mother  should  give  as  much  attention  to  the  state 
of  her  mind,  as  to  the  state  of  her  general  health  ; for  violent  men- 
tal emotions  of  any  description  will  seriously  affect  the  milk.  All 
exciting  amusements,  novel  reading,  theater  going,  or  anything 
which  will  produce  excitement,  should  be  avoided.  Grief,  which 
is  sometimes  unavoidable,  may  have  such  an  effect  on  the  mother 
as  to  almost  totally  suppress  the  milk.  Mothers,  therefore,  who 
wish  to  have  cheerful,  good-natured  children,  should  be  themselves 
of  a happy,  cheerful  disposition.  Sir  Astley  Cooper  says  : “ The 

secretion  of  milk  proceeds  best  in  a tranquil  state  of  mind,  and 
with  a cheerful  temper  ; then  the  milk  is  regularly  abundant,  and 
agrees  well  with  the  child.  On  the  contrary,  a fretful  temper 
lessens  the  quantity  of  milk,  makes  it  thin  and  serous,  and  causes 
it  to  disturb  the  child’s  bowels,  producing  intestinal  fever  and 
much  griping.”  A woman  should  never  nurse  her  child  after 
having  suffered  from  fright,  passion,  or  other  emotion  ; she  should 
wait  until  perfectly  calm  and  composed. 

Weaning. 

Weaning,  is  sometimes  an  important  subject  for  the  considera- 
tion of  the  mother.  If  her  health  is  such  that  she  can  not  nurse 
the  child,  it  is  best  that  it  should  be  given  to  a wet  nurse,  until 
the  time  has  come  for  weaning.  This  may  commence  as  soon  as 
the  first  two  teeth  have  made  their  appearance,  or  between  the 
seventh  and  eighth  months.  The  child  should  be  gradually  accus- 
tomed to  a change  of  food,  so  that  by  the  time  it  is  twelve  to 
eighteen  months  old,  it  may  be  completely  weaned.  The  spring 
and  fall  are  the  most  favorable  for  weaning  the  child. 

Supplementary  Diet  of  Infants. 

In  some  cases,  although  the  mother  may  be  willing  to  nurse  her 
child,  yet  she  fails  to  have  a sufficient  quantity  cf  milk  for  its 


DISEASES  OF  INFANTS. 


419 


nourishment,  and  in  that  case  it  becomes  necessary  that  a substi- 
tute should  be  provided.  I would  strongly  advise  against  anything 
being  substituted  for  the  mother’s  milk  if  it  can  be  avoided,  but  in 
all  cases  where  the  child  cannot  be  fed  with  milk  from  the  breast, 
use  “ Carnrick’s  Soluble  Food,”  for  this  preparation  comes  the  near- 
est to  human  milk  of  any  production  that  has  ever  been  prepared  as 
a substitute.  It  is  not  necessary  to  mix  this  food  with  cow’s  milk, 
as  it  contains  every  element  necessary  to  thoroughly  nourish  the 
child. 

Some  home  made  preparations  of  this  kind  are  as  follows,  though 
they  are  none  of  them  to  be  compared  with  the  food  recommended 
above.  Dr.  Tracy  recommends  the  use  of  the  newly  raised  cream 
and  a little  of  the  top  of  the  milk  from  a fresh  young  cow  that  gives 
rich  milk.  He  says  : “ At  first  you  may  take  one  tablespoonful  of 
this  cream,  and  add  to  it  twice  that  quantity  of  soft,  warm  water, 
and  sweeten  it  with  loaf  sugar,  of  which  enough  should  be  used  to 
make  it  about  as  sweet  as  breast  milk.  This  preparation  may  be  fed 
to  your  babe  in  such  quantities  as  are  necessary  to  satisfy  its  natu- 
ral desire  for  food.  As  the  age  of  the  child  advances,  you  may  use 
a larger  proportion  of  cream,  and  may  also  take  more  of  the  top  of 
the  milk  with  the  cream.  This  is  a good  food  for  babes,  and  many 
will  thrive  upon  it  without  any  breast  milk  at  all.”  It  is  not,  how- 
ever, always  possible  to  obtain  cream,  or  even  pure  milk,  and  in 
such  cases  we  must  do  the  best  we  can.  If  we  take  good  milk  from 
one  cow  all  the  time,  dilute  it  with  twice  as  much  water,  and  sweeten 
it  with  loaf  sugar,  the  child  will  probably  thrive  upon  it.  An  imi- 
tation of  motner’s  milk  is  made  as  follows  : dissolve  a tablespoonful 
of  sugar  of  milk  in  three  cups  of  water,  boil  it  down  to  two  cups, 
and  add  one  cup  of  fresh  milk.  In  those  cases  where  the  mother 
does  not  furnish  a sufficient  supply  of  milk,  finely  ground  rice  or 
barley  flour  makes  a good  diet.  This  is  prepared  as  follows:  “For  an 
infant,  take  a tablespoonful  of  the  flour — more  for  an  older  child — 
moisten  it  with  cold  water , stirring  it  well,  so  that  it  shall  con- 
tain no  lumps;  then  add  a little  salt,  and  a sufficient  quantity  of 


420 


OUR  FAMILY  PHYSICIAN. 


hot  water , and  boil  it  for  ten  minutes,  during  which  time  it  should 
be  carefully  stirred  to  keep  from  burning.  After  it  has  been  re- 
moved from  the  fire,  you  should  add  a sufficient  quantity  of  loaf 
sugar  to  make  it  about  as  sweet  as  breast  milk.”  The  amount  of 
water  put  in,  will,  of  course,  be  governed  by  the  thickness  which 
you  wish  to  have  it.  If  it  is  to  be  given  from  a nursing  bottle  it 
should  be  quite  thin.  Barley  hour  is  the  best  for  infants,  whose 
bowels  are  inclined  to  be  constipated,  and  rice  flour  where  the 
bowels  are  loose.  Mothers  should  be  careful  and  not  give  their 
children  too  much  to  eat,  for  there  is  greater  danger  that  the  in- 
fant will  be  overfed,  than  there  is  that  it  will  not  get  sufficient. 
Because  it  cries  or  worries  a little,  do  not  imagine  that  it  is  starv- 
ing, and  must  be  immediately  “ stuffed.”  “As  a general  rule  a 
healthy  child  from  one  to  three  weeks  old,  requires  a pint  of  breast 
milk,  or  other  food  equally  nutritious,  during  the  twenty-four  hours. 
At  the  end  of  the  first  month,  and  in  the  course  of  the  second,  the 
quantity  usually  taken  by  the  child  increases  gradually  to  about  a 
pint  and  a half  to  a quart.”  If  a nursing  bottle  is  used,  be  careful 
and  wash  it  out  with  hot  water , morning  and  night,  for  it  must  be 
kept  sweet,  or  the  milk  will  sour  on  the  stomach  of  the  child.  Dr. 
Tracy  says,  “ when  the  child  is  taking  its  food,  whether  from  the 
breast,  the  bottle,  or  the  spoon,  it  should  be  supported  in  an  easy 
semi-recumbent  position,  upon  the  arm  or  lap  of  the  person  feeding 
it,  and  should  be  kept  quiet  for  at  least  thirty  or  forty  minutes 
after  having  received  its  nourishment.”  The  process  of  digestion 
is  very  apt  to  be  impeded  by  any  strong  mental  or  bodily  exercise; 
therefore  infants  should  not  be  jolted  or  dandled  about  after  a meal. 
Dr.  Meigs  recommends  the  following  preparation  for  children  whose 
digestive  organs  are  weak  and  irritable,  and  for  those  where  pure 
milk  cannot  be  obtained.  “ It  is  made  by  disolving  a small  quan- 
tity of  prepared  gelatine,  or  Russian  isinglass,  in  water,  to  which 
is  added  milk,  cream,  and  a little  arrow  root,  or  any  other  farina- 
cious  substance  that  may  be  preferred.  The  mode  of  preparation, 
and  the  proportions  are  as  follows  : a scruple  of  gelatine  — or  a 
piece  two  inches  square  of  the  flat  cake  in  which  it  is  sold  — is 


DISEASES  OF  INFANTS. 


421 


soaked  for  a short  time  in  cold  water  until  it  dissolves,  about  ten 
or  fifteen  minutes  ; to  this  is  added  (with  constant  stirring  and 
just  at  the  termination  of  the  boiling)  the  milk  and  arrow  root, 
the  latter  being  previously  mixed  into  paste,  with  a little  cold 
water.  After  the  addition  of  the  milk  and  arrow  root,  and  just 
before  the  removal  from  the  fire,  the  cream  is  poured  in  and  a mod- 
erate quantity  of  loaf  sugar  added.  The  proportion  of  milk,  cream 
and  arrow  root,  must  depend  upon  the  age  and  digestive  powers 
of  the  child.  For  a healthy  infant  within  a month,  from  three  to 
four  ounces  of  milk,  half  an  ounce  of  cream,  and  a teaspoonful  of 
arrow  root  to  a pint  of  water.  (Two  tabiespoonfuls  are  equal  to 
an  ounce.)  For  older  children,  the  quantity  of  milk  and  cream 
should  be  gradually  increased  to  a half  or  two-thirds  milk,  and 
from  one  to  two  ounces  of  cream.  In  the  case  of  Sick  children  it 
should  sometimes  be  made  weaker,  for  a while,  than  the  first  pro- 
portions mentioned.” 

Restlessness  and  Sleeplessness. 

This  may  be  occasioned  by  cramps,  colic,  etc.  For  the  treat- 
ment of  the  different  diseases  causing  the  disturbance,  see  their 
respective  chapters. 

The  following  are  the  Homeopathic  remedies : 

If  the  child  is  restless  and  uneasy  without  any  apparent  cause, 
give  Coffea  and  Belladonna,  either  alone  or  in  alternation  (turn 
about.)  If  these  do  not  have  the  desired  effect,  give  Ohamomilla, 
especially  if  there  is  colic,  griping  pains  ; the  child  draws  up  its 
feet  and  contracts  its  body  ; redness  of  one  cheek. 

Pulsatilla  or  Ipecac.  — When  the  restlessness  is  caused  by  an 
overloaded  stomach.  Opium  may  be  given  if  Coffea  and  Belladonna 
fail . 

Administration  of  Remedies.  — Of  the  remedy  selected,  dissolve 
twelve  globules  in  as  many  teaspoonfuls  of  water,  and  give  a tea- 
spoonful every  half  hour  or  hour  ; or  give  twelve  globules  at  a 
dose. 

Excoriation  and  Rawness  of  the  Skin. 

The  skin  of  infants  is  very  liable  to  become  raw,  especially  in 
fleshy  children,  between  the  legs,  under  the  arm,  and  around  the 


OUR  FAMILY  PHYSICIAN. 


422 

neck.  The  parts  should  be  kept  dry,  and  dusted  with  fine  starch, 
powdered,  or  a very  weak  lotion  of  Arnica  tincture. 

Jaundice,  [Icterus.) 

This  (also  called  yellow  gum)  is  an  affection  occurring  a short 
time  after  the  birth  of  the  infant ; it  is  a yellowish  tinge,  some 
times  extending  over  the  whole  surface  of  the  body,  and  generally 
owing  to  a torpor  of  the  liver. 

TREATMENT. HOMEOPATHIC. 

Chamomilla  and  Mercury  may  be  given  in  alternation  (turn  about) 
two  or  three  times  a day,  and  one  or  two  pills  at  each  dose.  If 
the  child  is  costive  and  restlesss,  give  Nux  Yomica.  China  may 
be  given,  if  Chamomilla  and  Mercury  do  not  relieve 

V 

ECLECTIC  AND  HERBAL. 

An  infusion  of  Catnip  and  Saffron  may  be  used  with  advantage. 
A little  Rhubarb  and  Castor  oil  may  be  given  to  open  the  bowels. 
A few  teaspoonfuls  of  Thoroughwort  tea  given  every  day  for  two 
or  three  days  will  sometimes  remove  the  disease. 

Convulsions  — Spasms  — Pits. 

Convulsions  is  a disease  which  is  probably  more  dreaded  by 
mothers  and  nurses  than  any  other,  on  account  of  the  terrible  ap- 
pearance generally  presented  by  the  sufferer,  and  the  suddenness 
of  the  attack  of  the  spasms.  By  the  word  convulsion  we  mean, 
a violent  and  involuntary  contraction  of  the  muscles  of  the  whole 
or  part  of  the  body,  and  consists  in  some  affection  of  the  spinal 
system  of  nerves.  Not  all  convulsions  are  dangerous,  although 
some  are  very  dangerous,  and  some  even  fatal.  The  ones  to  be 
feared  the  most  are  those  which  occur  after  dropsy  of  the  brain  has 
set  in,  after  severe  falls  or  bruises,  or  after  any  acute  attack  of 
brain  or  bowel  diseases.  They  are  more  likely  to  occur  before  the 
age  of  seven,  especially  during  the  first  three  years.  The  brain  of 
an  infant  is  very  tender,  and  consequently  is  liable  to  sudden  con- 
gestions, which  it  cannot  resist  so  well  as  the  brain  of  an  adult.  - 

Causes.  — Children  of  a susceptible,  irritable  and  nervous  tem- 
perament or  disposition,  are  more  liable  to  them  than  others.  The 


MSEASES  OF  INFANTS. 


423 


inost  common  causes  are,  irritation  of  the  bowels  from  indigestible 
food,  difficult  teething,  and  worms,  excessive  crying  and  pains, 
anger  and  joy.  A dangerous  form  results  from  overloading  the 
stomach  with  indigestible  food,  as  nuts,  apples,  etc.  Eruptive 
fevers,  as  scarlet  fever,  small  pox,  and  measels,  are  frequently 
ushered  in  by  convulsions,  but  they  quickly  disappear,  on  the 
appearance  of  the  eruption,  and  are  not  considered  dangerous ; if 
however,  they  make  their  appearance  during  the  course  of  the 
disease,  they  are  greatly  to  be  dreaded.  Spasms  have  been  pro- 
duced by  the  milk  of  the  mother  becoming  poisoned  by  some  great 
mental  emotion,  as  anger,  also  by  her  nursing  the  child  when  over- 
heated. 

Symptoms . — “ The  attack  generally  commences  in  the  eyes,  which 
are  at  first  fixed  in  one  position,  staring ; but  as  the  case  advances, 
they  become  agitated,  and  are  turned  up  beneath  the  upper  eyelid, 
leaving  only  the  whites  visible ; the  eyelids  are  sometimes  open, 
sometimes  shut ; the  eyes  are  frequently  crossed  ; the  pupils  may 
be  either  contracted  or  dilated.  The  muscles  of  the  face  next 
become  affected,  and  the  contractions  produce  at  times  most  horrid 
contortions;  the  mouth  is  distorted  into  various  shapes.  Some- 
times the  jaws  are  firmly  set,  again  they  are  in  violent  motion. 
At  times,  but  rarely,  there  is  foaming  at  the  mouth.  In  severe 
cases,  when  the  spasm  becomes  general,  the  whole  body  is  violent- 
ly convulsed ; the  head  is  drawn  backward,  or  to  either  side ; the 
body  may  become  stiff  and  rigid,  or  variously  contorted  ; the  fingers 
are  drawn  into  the  palms  of  the  hands ; the  arms  are  thrown  back- 
ward, or  forward,  or  jerked  and  drawn  into  all  conceivable  positions. 
The  lower  extremities  are  likewise  affected,  but  not  generally  in 
so  violent  a manner.”  A fit  may  last  but  for  a few  moments,  or  it 
may  continue  for  several  hours.  A child  will  sometimes  have 
several  fits  during  the  day,  but  there  will  always  be  a longer  or 
shorter  interval  between  each  spasm. 

GENERAL  TREATMENT. 

The  first  thing  to  be  done,  is  to  prepare  a warm  bath  and  put 


424 


OUR  FAMILY  PHYSICIAN 


the  child  in,  as  soon  as  possible.  Where  the  convulsion  is  slight  a 
foot  bath  with  a little  mustard  in  the  water  is  sufficient,  but  in 
other  cases  the  bath  must  be  a general  one.  Pour  cold  water  in  a 
steady  stream  on  the  head  of  the  child  while  in  the  bath,  and  con- 
tinue it  so  long  as  the  head  is  at  all  hot,  or  until  the  fit  passes  off. 
When  taken  from  the  bath,  he  may  be  wrapped  in  a warm  flannel, 
or  woolen  blanket  ; do  not  even  stop  to  wipe  him  off.  He  must  be 
kept  in  the  water,  from  ten  to  twenty  minutes,  or  until  the  convul- 
sion ceases.  If  the  patient  does  not  improve  under  this  means, 
give  an  injection  of  tepid  water,  with  which  may  be  mixed  a table- 
spoonful of  sweet  oil,  and  a little  castile  soap  suds  ; repeat  this  as 
often  as  may  be  necessary  to  produce  an  evacuation  of  the  bowels. 

ECLECTIC  AND  HERBAL. 

Place  the  patient  in  the  warm  bath.  Give  the  Compound  Tinc- 
ture of  Lobelia  and  Capsicum  in  doses  of  from  fifteen  to  thirty 
drops.  After  the  convulsion  has  ceased,  give  as  a purgative  the 
Entozoic  powder,  especially  if  there  are  worms.  If  the  gums  arc 
the  cause,  lance  them.  The  following  will  be  found  to  be  a good 
tonic  to  be  given  after  the  fit.  Take  of  Gentian,  Golden  Seal, 
Balmony,  each,  in  powder,  one  and  a half  drachms  Cardamon  seeds, 
Sassafras  Bark,  Prickley  Ash  Berries,  each,  bruised,  one  drachm. 
Good  Brandy,  half  a pint.  Mix  and  let  them  stand  a few  days  ; 
dose,  half  a teaspoonful,  or  a teaspoonful  in  sweetened  water,  three 
times  a day.  If  the  convulsions  are  caused  by  worms,  give  salt 
and  water,  and  the  following  injection  : Balmony  an  ounce,  Man- 
drake, three  drachms  ; water  half  a pint  ; boil  and  strain,  and  add 
Tincture  of  Asafetida  five  drachms,  molasses,  four  ounces,  salt, 
three  drachms.  When  the  convulsion  is  caused  by  an  overloaded 
stomach,  give  the  Compound  Tincture  of  Lobelia  and  Capsicum, 
with  the  following  injection. 

Boneset  and  Senna,  equal  parts;  water  sufficient  to  make  a 
strong  decoction  ; to  each  pint  of  the  decoction,  add  three  drachms 
of  salt,  and  a drachm  each  of  Bayberry  bark,  and  Lobelia.  Inject 
every  ten  or  fifteen  minutes. 

ALLOPATHIC. 

Place  the  child  in  a warm  bath.  If  the  convulsions  are  caused 
by  an  overloaded  stomach  or  bowels,  give  a mild  emetic,  either 
Syrup  of  Ipecac  or  antimonial  Wine.  Apply  Mustard  plasters  to 
the  arms  and  legs,  and  give  a mild  injection,  as  warm  water.  Keep 
the  bowels  open  by  small  doses  of  Rhubarb  or  Magnesia.  When 
the  symptoms  first  appear,  the  Tincture  of  Gelseminum  given  in 
doses  of  eight  or  ten  drops,  every  half  hour,  or  every  hour,  will 
sometimes  keep  them  off. 


DISEASES  OF  INFANTS. 


425 


HOMEOPATHIC. 

Place  the  child  in  a warm  hath.  If  the  convulsion  has  been 
caused  by  overloading  the  stomach,  give  an  emetic  of  tepid  water, 
at  once  ; its  operation  may  be  hastened  by  tickling  the  throat  with 
the  feathered  end  of  a quill.  The  remedies  to  be  given  -are  *s 
follows  : 

Nux  Vomica.  — If  there  has  been  constipation,  colic  ; spasms 
are  violent,  and  attended  with  shrieks  ; jerking  backward  of  the 
head  ; the  eyes  are  set.  Pulsatilla  may  be  given  in  alternation. 

Veratrum. — If  the  child  is  pale  and  cold;  sweat  on  the  forehead. 

Ipecac . — If  there  are  attempts  at  vomiting. 

If  the  spasms  are  caused  by  teething,  and  the  gums  are  red  and 
swollen,  cut  them  with  a sharp  pen  knife.  Belladonna  and  coffea 
may  be  given  in  alternation,  every  ten  or  fifteen  minutes.  If 
there  is  much  fever,  give  Aconite,  especially  if  there  is  great  rest 
lessness,  crying  and  starting.  Give  Chamomilla,  if  the  musoles 
of  the  eyes  and  face  twitch  convulsively  ; rolling  of  the  head  from 
side  to  side  ; one  cheek  red,  and  the  other  pale.  Belladonna  may 
be  given  in  alternation,  when  Chamomilla,  alone,  fails. 

Cina.  — If  convulsions  are  caused  by  worms,  and  there  are 
spasms  of  the  chest,  with  stiffness  of  the  entire  body.  May  follow 
Mercurius,  or  be  given  in  alternation  with  it. 

Ignatia . — When  the  patient  starts  suddenly  from  sleep,  with 
violent  crying  and  shrieks. 

Hyosciamus.  — For  sudden  attacks  after  eating  ; the  child  gives 
a shriek,  and  becomes  insensible  ; twitching  of  the  muscles  of  the 
face  ; foaming  at  the  mouth,  and  great  wildness. 

If  convulsions  appear  in  the  beginning  of  eruptive  fevers  as 
measels,  scarlet  fever,  or  small  pox,  give  Coffea  and  Aconite. 
After  these  Bryonia  and  Belladonna,  which  will  generally  bring 
out  the  eruption. 

If  the  convulsion  appears  during  the  course  of  a fever,  give 
Belladonna  if  in  scarlet  fever;  Bryonia,  if  in  measles.  If  these  do 
not  relieve,  give  Cuprum  in  alternation  with  Belladonna.  If  not 
better  in  two  hours,  give  Stramonium  and  Cuprum.  Convulsions 
from  fright  require  Opium,  especially  if  there  is  trembling  over  the 
whole  body  ; the  child  lies  as  if  stunned  ; breaths  heavily  like 
snoring  ; face  almost  blue.  If  the  Opium  fails  give  Stramonium 
or  Ignatia.  Hyosciamus,  if  there  is  foaming  at  the  mouth  and 
twitching  of  the  muscles  of  the  face.  When  convulsions  occur 
from  blows,  or  falls  upon  the  head  give  Arnica. 

Sometimes  convulsions  occur  from  a cold  on  the  lungs  being 
transferred  to  the  head.  In  such  a case  put  the  child  in  a warm 


426 


OUR  FAMILY  PHYSICIAN. 


bath,  and  apply  cold  water  to  the  head,  persevere  in  its  use , until  the 
trouble  returns  to  the  lungs,  which  may  be  known  by  the  difficult 
breathing,  rattling,  etc.  Internally  give  Belladonna  and  Cuprum 
in  alternation,  afterwards  Opium  and  Camphor. 

Administration  of  Remedies.  — Of  the  remedy  selected  dissolve 
twelve  globules  in  twelve  teaspoonfuls  of  water,  and  give  a tea- 
spoonful every  ten,  fifteen,  or  twenty  minutes,  according  to  the 
urgency  of  the  symptoms.  Lengthen  the  intervals  as  the  child 
improves. 


Teething,  ( Dentition .) 

The  period  of  teething  is  one  fraught  with  considerable  danger 
to  the  infant.  Teeth-cutting  generally  begins  between  the  ages 
of  five  and  seven  months.  It  is  indicated  by  redness,  heat,  and 
tenderness  of  the  gums,  and  salivation,  commonly  called  “ drool- 
ing.” Sometimes  there  is  watering  of  the  eyes,  fever,  fretfulness, 
disturbed  sleep.  More  frequent  discharges  from  the  bowels. 


GENERAL  TREATMENT. 

When  the  gums  are  hot  and  swollen,  and  especially  if  there  is 
a determination  of  blood  to  the  head,  with  twitching  of  the  mus- 
cles, the  gum  should  be  lanced  immediately  over  the  tooth  ; this 
will  generally  relieve  the  symptoms.  The  child  may  be  allowed 
to  bite  upon  some  hard  substance,  as  an  ivory  ring. 

ALLOPATHIC. 


If  there  is  diarrhoea  with  watery  stools,  and  griping,  give  the 
following  r 

Sugar  of  Lead,  - - - - - 8 grains. 

Vinegar,  ------  8 drops. 

White  Sugar,  1 drachm. 

Soft  Water,  - - - - 1 ounce. 


Mix.  Dose,  a teaspoonful  three  or  four  times  a day. 
Or  this  : 


Tincture  of  Aconite,  1 drachm. 

Acetate  of  Morphine,  - - - - grain. 

Water,  ------  6 ounces. 

Mix.  Dose,  one  teaspoonful  every  one  or  two  hours,  until  the 
diarrhoea  is  partially  checked.  If  the  discharge  from  the  bowels 
is  obstinate,  a small  plaster  behind  the  ear  may  afford  relief.  If 
the  child  be  drowsy,  and  starts  in  his  sleep  and  has  heat  and  red- 


Diseases  op  infants. 


427 


Hess  of  the  head,  three  or  four  leeches  should  be  applied  behind 
the  ears,  and  cold  water  to  the  head.  At  the  same  time  give  the 


following  to  open  the  bowels  : 

Castor  Oil,  - 

Mayweed,  ----- 

I desert-spoonful. 
- I “ 

Rub  together  into  a paste,  and  give  at  one  dose. 


HOMEOPATHIC. 

Aconite . — May  be  given  when  there  is  much  fever,  with  rest- 
lessness and  pain,  the  child  cries  and  starts. 

Belladonna.  — Especially  when  the  child  is  nervous,  head  is  hot, 
face  flushed,  gums  swollen  and  red,  also  when  convulsions  are 
threatened,  the  child  starts  from  sleep  and  stares,  the  pupils  of  the 
eyes  are  dilated,  the  body  becomes  stiff. 

Chamomilla.  — Especially  good  when  the  child  is  uneasy  and 
restless  at  night,  starts  at  the  least  noise,  twitches  and  jerks  in 
sleep,  redness  of  one  cheek,  moaning  and  groaning,  uneasiness, 
diarrhoea  of  watery  and  greenish  substances.  Chamomilla  may 
be  given  in  alternation  with  Belladonna. 

Coffea.  — When  the  child  is  restless,  and  can  not  sleep,  has  some 
fever.  May  be  given  in  alternation  with  Belladonna. 

Ignatia.  — If  there  are  flashes  of  heat  with  sudden  starting  from 
sleep,  and  piercing  cries.  If  the  diarrhoea  is  yellowish,  becoming 
soon  afterwards  of  a whitish  color,  slimy,  and  curdled,  give  Coffea, 
Ipecac,  or  Calcarea  Carb.  If  it  is  greenish,  give  Mercurius,  Mag- 
nesia, Chamomilla,  Sulphur. 

Administration  of  Remedies. — Of  the  remedy  selected,  dissolve 
six  globules  in  six  teaspoonfuls  of  water,  and  give  one  teaspoonful 
of  the  solution  for  a dose,  every  one,  two,  three,  or  four  hours,  ac- 
cording to  the  urgency  of  the  case.  When  the  globules  are  given, 
three  or  four  will  be  a dose. 


Snuffles,  — Cold  in  the  Head. 

This  is  a common  complaint  among  children,  caused  by  slight 
inflammation  of  the  membrane  lining  the  nose,  produced  by  cold. 

TREATMENT.  ECLECTIC  AND  HERBAL. 

Greasing  the  nostril  with  lard,  sweet  oil,  or  mutton  suet,  and 
keeping  the  bowels  open  with  a little  Castor  oil  and  molasses,  will 


428 


OUR  FAMILY  PHYSICIAN. 


generally  be  sufficient  ; or,  giving  the  child  a dose  of  Catnip, 
Penny  Royal,  Sage  or  Balm  tea.  Camphorated  Olive  oil,  rubbed 
over  the  surface  of  the  nose,  will  sometimes  relieve. 

HOMEOPATHIC. 

Camphor . — Is  the  best  remedy  for  the  first  symptoms.  If  there 
is  nothing  convenient  but  the  ordinary  spirits  of  Camphor,  put  one 
or  two  drops  upon  a lump  of  sugar  and  dissolve  the  sugar  in  a 
tumbler  half  full  of  water,  and  give  a teaspoonful  every  two  hours. 

Arsenicum . — If  Camphor  does  not  relieve,  and  especially  if  the 
following  symptoms  are  present : obstruction  of  the  nose,  with  a 
discharge  of  watery  acrid  mucus  ; the  discharge  from  the  nose  pro- 
duces redness  and  swelling  of  the  parts.  Ipecac  may  be  given,  if 
this  does  not  relieve. 

Nux  Vomica . — Especially  when  there  is  but  little  running  from 
the  nose  ; also  with  heat  in  the  face  ; constipation. 

Chamomilla.  — When  the  difficulty  is  caused  by  checked  perspi- 
ration ; redness  and  inflammation  of  the  eyes  ; swelling  of  the 
face  ; child  cross  and  fretful. 

If  the  disease  proves  obstinate,  one  of  the  following  may  be 
given  : Belladonna,  Mercurius,  Hepar  Sulphur,  Pulsatilla,  Euphra- 
sia, Silicea. 

Administration  of  Remedies.  — Of  the  remedy  chosen,  dissolve 
twelve  globules  in  twelve  teaspoonfuls  of  water,  and  give  one  tea- 
spoonful of  the  solution  every  hour,  two,  three,  or  four  hours,  ac- 
cording to  the  severity  of  the  symptoms. 


Thrush  or  Apthje. 

This  is  a disease  to  which  infants  are  particularly  liable  within 
the  first  and  second  months,  or  the  first  year  after  birth.  It  is  an 
ulcerative  sore  mouth,  and  first  makes  its  appearance  with  a redness 
of  the  surface  of  the  tongue,  and  around  the  gums,  and  great  dry- 
ness of  the  mouth.  Soon  whitish  spots  appear,  which  may  increase 
until  they  cover  the  entire  surface  of  the  mouth.  If  this  state 
continues  for  any  length  of  time,  the  general  health  becomes  af- 
fected, and  we  have  the  disease  extending  to  the  stomach  and 
bowels,  producing  diarrhoea,  with  feverishness  and  emaciation. 


DISEASES  OF  INFANTS. 


429 


Causes.  — Want  of  cleanliness  is  generally  the  cause  of  this  dis- 
ease. The  mouth  of  the  child  should  he  washed  out  with  a wet 
rag,  after  every  meal,  especially  if  nursing  from  a bottle.  Feeding 
the  unfortunate  infant  with  sugar  and  molasses,  or  allowing  it  to 
suck  little  bags  of  sugar  and  bread,  are  other  causes. 


GENERAL  TREATMENT. 

The  most  important  thing  is  to  keep  the  mouth  of  the  child 
clean . A few  grains  of  Borax  dissolved  in  a teacup  of  water,  and 
used  as  a wash,  will  generally  be  effective.  A very  nice  applica- 
tion is  to  dissolve  half  a drachm  of  Borax,  with  one  drachm  of 
Glycerine,  and  one  ounce  of  water.  These  may  be  used  in  a mild 
attack. 


ALLOPATHIC. 

Give  one  or  two  grains  of  powdered  Rhubarb,  and  five  grams  of 
magnesia  in  some  dill,  or  other  aromatic  water,  daily,  to  overcome 
the  acid  state  of  the  stomach  which  exists.  If  there  is  diarrhoea, 
with  watery  discharge  from  the  bowels,  and  griping  pains,  gB'e  the 
following  : 


Pulverized  Rhubarb,  - 1 scruple 

Leptandrin,  ......  10  grains. 

Calcined  Magnesia,  .....  2 scruple! . 

Pulverized  Cinnamon,  ■ - - 10  grains. 

Mix.  Bose,  three  or  four  grains,  every  three  hours.  If  there 
is  prostration,  with  great  loss  of  strength,  give  the  following  : 


Infusion  of  Calumba  or  Cascarilla,  - 5-J  ounces. 

Compound  Tincture  of  Cardamons,  - \ ounce. 

Dilute  Nitric  Acid,  - - 1^  drachm*. 

Mix.  Dose,  a tablespoonful,  three  times  a day. 


HOMEOPATHIC. 

Borax  is  the  best  remedy  given  in  the  form  of  pills,  twelve  of 
which  may  be  dissolved  in  twelve  teaspoonfuls  of  water,  and  a tea 
spoonful  given  every  three  hours.  A solution  of  Borax  — a few 
grains  to  the  cupful  of  water  — may  be  used  as  a gargle,  in  which 
case  it  is  not  necessary  to  give  it  in  any  other  form. 


430 


OUR  FAMILY  PHYSICIAN. 


Mercurius.  — - When  there  is  salivation,  and  a tendency  to  ulcer- 
ation. This  may  be  followed  by  Sulphur,  if  it  does  not  cure. 

Arsenicum. — When  the  mouth  and  throat  become  ulcerated,  the 
ulcers  have  a livid  hue,  and  there  is  diarrhoea  with  great  weakness. 
Give  Nitric  Acid,  if  Arsenicum  does  not  relieve. 

Coffea  and  Chamomilla,  either  in  alternation  or  alone,  when  the 
mouth  is  dry,  hot,  and  very  red. 

If  constipation  follows  give  Nux  Vomica,  three  times  a day. 
The  other  remedies  to  be  given  the  same  as  the  Borax. 

ECLECTIC  AND  HERBAL 

If  the  bowels  are  deranged  give  the  Compound  Syrup  of  Rhu- 
barb and  Potassa  ; dose,  a teaspoonful  every  two  or  three  hours. 
Wash  the  mouth  with  a strong  infusion  of  Blue  Cohosh  root,  and 
Golden  Seal,  sweetened  with  sugar  or  honey,  and  a little  alum 
added.  Calcined  Magnesia,  a few  grains,  dissolved  in  a little  water 
is  recommended  to  overcome  the  acid  state  of  the  bowels ; or,  if  the 
bowels  are  loose,  give  prepared  chalk,  following  both  of  these  with 
a mild  dose  of  Castor  oil  every  other  day.  A weak  infusion  of 
Anise  seed  or  Catnip,  to  which  is  added  a small  quantity  of  the 
Subcarbonate  of  Soda  (Sal  Soda)  and  a drop  or  two  of  paregoric, 
will  be  found  useful  to  quiet  the  child,  and  correct  the  discharges. 
The  following  is  a good  gargle  to  wash  the  mouth  of  the  child  : 
take  Sage,  Hyssop,  and  Sumach  berries,  equal  parts,  and  make  a 
strong  decoction  ; sweeten  with  honey  or  sugar,  and  to  half  a pint, 
add  half  a teaspoonful  of  pulverized  Borax.  Wash  the  mouth 
frequently  with  this.  Decoctions  of  Sage,  Gold  thread,  Blackber- 
ry Root,  or  Red  Raspberry  leaves,  will  also  be  found  beneficial. 


Constipation  and  Diarrhcea. 

In  the  constipation  of  infants,  it  is,  as  a general  thing,  a bad 
plan  to  give  physic,  such  as  Castor  Oil,  Epsom  Salts,  etc.  Instead 
of  these,  use  simple  injections  of  warm  or  cold  water.  These  act 
more  gently  and  naturally.  Diarrhoea  is  a frequent  complaint  of 
children,  and  is  generally  caused  by  over  feeding,  taking  cold,  un- 
healthy diet,  teething,  etc.  Care  should  be  used  in  not  checking 
the  diarrhoea  too  suddenly,  especially  if  powerful  medicines  are 
employed. 

For  the  treatment  of  these  diseases,  see  Section  I,  Chapter  XII 


DISEASES  OF  INFANTS. 


431 


Dropsy  of  the  Brain.  — ( Hydrocephalus .) 

This  is  an  accumulation  of  water  in  the  skull,  and  more  fre- 
quently affects  infants. 

Symptoms . — Inflammation  which  produces  dropsy  is  generally  slow 
and  gradual,  and  therefore  is  not  attended  with  any  very  violent 
symptoms.  The  most  common  symptom  is  drowsiness  and  sleepi- 
ness ; the  patient  puts  its  hands  up  to  its  head,  and  shows  evident 
signs  of  distress  and  pain  ; the  tongue  is  covered  with  white  fur  , 
the  head  is  unusually  hot ; breathing  is  difficult  and  labored  ; eyes 
are  dull  and  heavy  ; pulse  is  feeble,  while  the  arteries  of  the  neck 
and  temples  beat  very  strongly ; the  head  gradually  becomes 
enlarged,  the  bowels  are  costive;  appetite  is  lost.  As  the  disease 
progresses,  the  child  is  disposed  to  sleep  all  the  time. 

Causes.  — In  some  families  there  appears  to  be  a predisposition 
to  it.  Among  the  exciting  causes  may  be  named,  teething, 
diarrhoea,  blows,  falls,  cold,  chronic  inflammation  of  the  brain. 

TREATMENT.  HOMEOPATHIC. 

Bryonia  and  Hellebore,  — Are  the  principal  remedies,  especially 
when  the  child  is  drowsy;  head  hot;  feet  cold;  sleeps  with  eyes 
half  open. 

Dissolve  twelve  globules  in  twelve  teaspoonfuls  of  water,  and 
give  a teaspoonful  every  hour  or  two.  If  this  does  not  relieve 
within  a short  time,  give  Opium  and  Sulphur  in  the  same  manner. 
Afterwards  Belladonna  and  Hellebore  in  the  same  manner. 

Dr.  Pulte  of  Cincinnati  recommends  that  when  the  child  be- 
comes drowsy,  or  head  hot,  eyes  half  open,  and  other  symptoms 
appear,  that  ice  water  should  be  poured  over  the  head  in  a 
small  but  continuous  stream,  until  the  child  is  aroused,  or  falls 
into  a gentle  sleep.  Internally  he  gives  Bryonia  and  Hellebore  in 
alternation  ; every  half  hour  a teaspoonful,  gradually  lengthening 
the  intervals.  This  treatment  should  be  continued  twenty-four 
hours  if  necessary,  until  the  child  is  out  of  danger.  It  is  import- 
ant that  the  water  should  be  frequently  renewed,  and  be  applied 
in  a continuous  stream.  If  there  is  looseness  of  the  bowels,  give 
China  and  Phosphoric  Acid  alone  or  in  alternation,  a teaspoonful  of 
the  solution  every  two  or  three  hours. 


432 


OUR  FAMILY  PHYSICIAN. 


ALLOPATHIC. 


Externally  apply  the  following  ointment : 

Iodide  of  Potassium,  - 

Lard, 

Mix.  Apply  to  the  scalp  every  night. 


1 drachm. 

2 ounces. 


Keep  the  bowels  open  with  the  following  : 

Pulverized  Scammony,  ...  0 grains. 

Croton  Oil, 4 drops. 

Pulverized  Loaf  Sugar,  16  teaspoonfuls. 

Mix  together  in  a mortar.  Give  a teaspoonful  every  hour  or 
wwo,  to  a child  seven  years  old. 

At  the  same  time  use  the  following : 


Iodide  of  Potassium,  - 1 drachm. 

Water,  -------  -J-  ounce. 

Mix.  Dose,  thirty  drops  to  a child  seven  years  old,  every  hour. 
Or  this : 


Cream  of  Tartar,  ■ 

Sulphate  of  Potassa,  - • . - 

Pulverized  Squills,  .... 

Tartar  Emetic,  - - . - 

Mix.  Dose,  a teaspoonful  four  or  five  times  a 


ounces. 
\ ounce. 

2 drachms 
2 grains. 

day. 


ECLECTIC  AND  HERBAL. 

Mustard  drafts  should  be  applied  to  the  bowels,  back  of  the  neck, 
wrists  and  ankles,  and  cold  water  applied  to  the  head.  Open  the 
bowels  with  half  a grain  of  Podophyllin,  and  half  a teaspoonful  of 
Cream  of  Tartar.  Repeat  every  three  hours  until  it  operates.  In 
some  cases  the  following  may  be  useful : 

Elaterium,  ......  4 grains. 

Nitric  Acid,  6 drops. 

Alcohol,  - 1 ounce. 

Mix.  Dose,  from  five  to  ten  drops  in  water,  for  a child  two 
years  old.  Repeat  as  often  as  necessary. 

The  treatment  of  this  disease  should  be  given  to  a competent 
physician. 


DISEASES  OF  INFANTS. 


433 


Remittent  Fever  of  Infants. 

At  the  commencement  there  is  generally  languor  for  several 
days,  with  irritability,  nausea  ; lips  dry  and  parched  ; he  starts  in 
his  sleep,  and  there  is  drowsiness  and  stupidity.  These  symptoms 
increase  ; there  is  fever,  pulse  rapid,  tongue  coated,  dry,  and  red  on 
the  margins  ; extremities  cold  ; moans,  and  grinds  his  teeth  ; picks 
at  his  nose,  mouth  or  eyes  ; belly  swells,  and  there  is  constipation, 
or  diarrhoea  of  mucus,  fetid  substances  ; urine  looks  as  if  mixed 
with  milk. 


general  treatment. 

The  application  of  water  will  be  found  useful  in  this  disease. 
During  the  fever,  pack  the  patient  in  a wet  towel  or  napkin,  well 
covered,  until  he  perspires  ; he  is  then  to  be  taken  out  and  washed 
with  tepid  water.  If  the  head  is  hot,  put  cloths,  wet  in  cold 
water  and  well  wrung  out,  on  the  head,  changing  them  frequently. 


HOMEOPATHIC. 

Ipecac  may  be  given  at  first,  one  globule  every  three  or  four 
hours  for  a day  ; then  Bryonia  and  Rhus,  alternately  every  three 
hours  for  two  days  ; then  stop  the  medicine  for  a day ; if  the  pa- 
tient is  better,  give  Sulphur.  Where  there  are  head  symptoms, 
give  Belladonna  or  Opium,  one  globule  every  three  or  four  hours. 
Where  there  is  considerable  fever,  skin  hot  and  dry,  yellow,  slimy, 
or  green  diarrhoea,  pain  in  the  stomach  or  bowels  on  pressure,  give 
Chainomilla  or  Ipecac  ; when  there  is  obstinate  constipation,  burn- 
ing heat  of  the  whole  body,  occasional  spasms,  evidences  of  trouble 
of  the  liver  or  stomach,  give  Nux  Vomica.  If  there  are  evidences 
of  trouble  in  the  lungs,  such  as  dry,  hacking  cough,  painful,  anxious, 
hurried  respiration,  hot  skin,  thirst,  stitches  in  the  side,  nightly 
delirium,  give  Bryonia. 

Administration  of  Remedies.  — Dissolve  twelve  globules  in  twelve 
teaspoonfuls  of  water,  and  give  a teaspoonful  every  two  to  four 
hours,  according  to  urgency  of  symptoms. 

28 


434 


OUR  FAMILY  PHYSICIAN 


ECLECTIC  AND  HERBAL. 

A cathartic  of  Rhubarb  and  Magnesia  may  be  given,  and  M us- 
tard,  Garlic  or  Onion  draughts,  placed  at  the  feet,  and  equal  parts 
of  vinegar  and  water  to  the  head.  For  derangement  of  the 
bowels,  give  the  Compound  Powder  of  Rhubarb,  a small  teaspoon* 
ful  every  three  or  four  hours.  When  the  fever  is  on,  give  freely 
to  drink,  a warm  infusion  of  Catnip,  Balm,  or  Elder  flowers. 
When  the  fever  is  off,  give  the  following : Chamomile  Flowers. 
Black  Cohosh  root,  Solomon’s  Seal  root,  Peruvian  Bark  (or  Dog- 
wood Bark)  each,  in  powder,  a tablespoonful,  and  boiling  water,  a 
quart.  Steep  in  a covered  vessel  for  four  hours  ; when  cold,  strain 
and  sweeten.  Dose,  a teaspoonful  every  hour. 

ALLOPATHIC. 

Move  the  bowels  with  two  or  three  grains  of  Calomel,  followed 
by  eight  or  ten  grains  of  the  Compound  Jalap,  or  the  Compound 
Scammony  Powder.  For  the  fever  symptoms  give  the  following : 

Citric  Acid,  1 drachm. 

Bicarbonate  of  Potash,  - - - - 4 scruples 

Nitre,  2 “ 

Cinnamon  Water,  - - - - - 2 ounces. 

Distilled  Water,  4 11 

Mix.  Dose,  a tablespoonful  every  four  or  six  hours.  If  the 
head  symptoms  are  prominent,  give  the  following ; 

Solution  of  Acetate  of  Ammonia,  - - 3 drachms. 

Antimonial  Wine,  - - - - • drachm, 

Sweet  Spirits  of  Nitre,  - - - \ drachm. 

Camphorated  Tincture  of  Opium,  - - 1 drachm. 

Water  sufficient  to  make  two  ounces. 

Mix.  Dose,  a teaspoonful  every  three  or  four  hours. 

If  there  is  diarrhoea  with  pale  or  clay-colored  stools,  give  one  or 
two  grains,  every  night,  of  the  gray  powder  (mercury  with  chalk.) 
If  there  be  much  heat  of  the  skin,  combine  with  the  gray  powder 
a third,  or  half  a grain  of  Ipecac  powder,  and  the  same  quantity 
of  Compound  Jalap  powder.  If  the  bowels  are  costive,  give  a 
small  dose  of  castor  oil,  every  morning.  When  the  movements 
have  lost  their  offensive  odor,  and  look  more  natural,  give  the  fol- 
lowing : 

Infusion  of  Columba,  or  Cascarilla,  - 5^  ounces. 

Compound  Tincture  of  Cardamons,  * * ounce. 

Dilute  Nitric  Acid,  l|^  drachms. 

Mix.  Dose,  two  tablespoonfuls  three  times  a day. 

The  diet  in  this  disease  should  be  of  the  lightest  description 


DISEASES  OF  INFANTS. 


435 


such  as  gruels,  toasted  bread  soaked  in  milk  or  water,  arrow  root, 
tapioca,  or  sago  jellies.  As  the  child  grows  better,  broths  of 
chicken,  veal  or  mutton  may  be  allowed. 

Cholera  Infantum. 

This  is  one  of  the  most  dangerous  diseases  of  infancy,  and  gen- 
erally occurs  during  the  first  and  second  summers.  The  period  of 
teething  is  more  liable  to  it,  on  account  of  the  system,  at  that 
time,  being  in  an  unusually  excitable  condition.  Yery  slight 
causes,  which  at  other  times  would  produce  no  effect  — as  errors  in 
diet,  exposure  to  night  air,  fatigue  — at  this  time  produce  serious 
results.  The  principal  cause,  however,  is  error  in  diet.  It  is 
highly  dangerous  to  change  the  food  at  the  period  of  teething,  to 
wean  them  from  the  breast,  and  place  them  upon  artificial  diet. 
This  should  be  done  only  when  absolutely  necessary. 

Symptoms . — The  disease  may  be  either  sudden  or  gradual  in  its 
approach.  The  child  may*  be  attacked  suddenly  with  violent  vom- 
iting and  purging,  or  may  have  had,  for  several  days,  a slight 
diarrhoea.  The  stomach  becomes  so  irritable  as  to  throw  off  every 
thing  taken  into  it.  The  substance  vomited  consists  of  the 
contents  of  the  stomach,  undigested  food,  mixed  with  mucus,  and 
bilious  matter.  When  everything  has  been  thrown  off,  there  will 
be  severe  retchings  and  efforts  to  vomit,  without  any  result.  It 
may  occur  whenever  food  is  taken  in  or  only  two  or  three  times  a 
day  The  diarrhoea  is  one  of  the  most  important  symptoms.  The 
stools,  which  at  first  consist  of  undigested  food,  become  to  be 
streaked  with  green.  In  time,  they  look  like  chopped  up  greens. 
They  may  be  yellowish,  very  watery,  and  the  odor  is  decidedly 
fetid  and  bad.  There  may  be,  also,  severe  pain,  as  in  dysentery, 
and  the  discharges  may  contain  blood  and  mucus.  There  is  consid- 
erable fever,  quick  pulse,  mouth  hot  and  dry,  great  thirst ; tongue 
coated  dirty  white  or  yellowish  white,  except  at  the  edges,  which 
are  red;  extremities  cold;  head  hot;  eyes  sunken  ; nose  pointed; 
features  look  withered  and  dried  up,  like  those  of  an  old  person  ; 
belly  swollen,  and  sometimes  tender  to  the  touch ; fever  generally 
worse  during  afternoon  and  evening. 


436 


OUR  FAMILY  PHYSICIAN 


GENERAL  TREATMENT 

As  this  disease  generally  occurs  during  teething,  the  gums  should 
always  be  looked  at  the  first  thing.  If  they  are  swollen,  hot, 
hard  and  red,  they  should  be  lanced.  A sharp  pen  knife  will  do  as 
well  as  a lancet.  As  very  much  depends  upon  the  diet  in  the 
treatment  of  this  disease,  this  must  be  carefully  regulated.  If 
possible,  the  child  should  not  be  weaned  until  after  the  second 
summer.  When,  however,  this  is  done,  the  diet  must  be  regulated 
according  to  the  peculiarities  of  the  child.  As  there  is  generally 
great  thirst,  the  infant  may  have  as  much  water  as  it  desires. 
Fresh  cow’s  milk  is  undoubtedly  the  best  thing  which  can  be  given. 
The  following  preparation  will  be  found  excellent : Dissolve  a 
tablespoonful  of  sugar  of  milk  in  three  cups  of  water,  boil  down 
to  two  cups,  and  add  one  cup  of  fresh  milk;  let  the  child  eat  it 
while  warm.  If  sugar  of  milk  cannot  be  procured,  use  loaf  sugar; 
but  the  first  is  by  far  the  best.  Rice  flour  gruel  sometimes  makes 
a good  diet.  Prepare  as  follows:  “ Take  one  tablespoonful  of 
rice  flour,  and  one  tablespoonful  of  milk ; stir  them  together,  and 
add  a little  salt,  and  nearly  a pint  of  warm  water;  stir  well  and 
boil  for  fifteen  minutes;  when  cold,  this  is  about  the  thickness  of 
starch  ; add  a little  white  sugar  to  sweeten.”  When  the  stomach 
is  very  weak,  take  one  part  cream,  to  five  of  water,  and  to  this  add 
a little  arrow  root,  sago,  or  tapioca.  The  preparation  recommended 
by  Dr.  Meigs,  and  which  will  be  found  in  the  article  on  “ Supple- 
mentary Diet  of  Infants,”  is  better.  Another  matter  of  impor- 
tance is  that  the  child  should  have  plenty  of  fresh  air.  If  possible, 
take  it  into  the  country.  When  this  cannot  be  done,  let  it  be 
carried  in  the  yard,  in  the  park,  or  in  the  street.  If  the  child  is 
too  sick,  carry  it  on  a pillow  in  a large  room  which  is  well  venti- 
lated. A tepid  bath,  occasionally,  will  also  be  found  beneficial. 

ECLECTIC  AND  HERBAL. 

The  principal  remedy  in  this  complaint  is  the  compound  syrup 
of  Rhubarb  and  Potassa,  or  the  Neutralizing  Mixture.  Give  a 
teaspoonful  every  half  hour,  until  it  operates  on  the  bowels,  when 
the  intervals  may  be  lengthened  to  every  three  or  four  hours. 
It  is  well  to  follow  this  in  a day  or  two,  with  a tea  made  of 
Blackberry  root,  Strawberry  leaves  and  root,  Cherry  tree  bark, 
a small  quantity  of  Cinnamon  and  Cloves,  sweetened  with  white 
sugar  ; any  one  of  these  is  good.  When  the  vomiting  is  severe, 
apply  mustard  poultices  to  the  spinal  column,  and  to  the  region  of 
the  stomach.  When  there  is  great  vomiting,  pain  in  the  bowels, 
straining  and  griping,  the  following  injection  will  prove  effica 


DISEASES  OF  INFANTS. 


43? 


cious  : Slippery  Alim  or  Starch  water  one  fluid  ounce,  Compound 

Tincture  of  Virginia  Snake  root,  five  to  ten  drops  ; Tincture  of 
Prickly  Ash  berries,  two  fluid  drachms.  Use  one-half  for  an  in- 
jection. The  following  compound  will  be  found  good,  when  the 
disease  is  difficult  to  cure,  and  runs  on  for  a considerable  time  : 
take  of  Colombo,  Prickly  Ash  berries,  Swamp  milk  weed,  Rhubarb, 
each,  bruised,  half  an  ounce,  brandy  two  pints  ; let  it  stand  for 
about  ten  days.  Give  half  a teaspoonful  at  a dose  in  a little 
sweetened  water,  every  three  or  four  hours.  If  there  is  more  or 
less  blood  mixed  with  the  discharges,  and  they  are  small  in  amount 
and  very  frequent,  give  the  following : 

Podophyllin,  - - - - - - 2 grains. 

Leptandrin,  ------  3 “ 

Ipecac,  - - - - - - - 3 u 

White  Sugar,  1 scruple. 

Grind  the  whole  together  in  a mortar,  and  divide  into  eight 
powders  ; give  a powder  every  three  or  four  hours.  After  these 
have  operated  on  the  bowels,  give  an  occasional  dose  of  the  Com- 
pound Syrup  of  Rhubarb  and  Potassa.  Be  sure  to  bathe  the  child 
once  or  twice  a day  with  warm  saleratus  water,  and  dry  with 
gentle  friction.  The  following  is  recommended  in  very  obstinate 
cases  : 


Ammoniated  Tincture  of  Opium,  - - 2 drachms. 

Extract  of  Logwood,  - - - - - 3 u 

Compound  Spirits  of  Lavender,  • - 1 “ 

Tincture  of  Catechu, 2 “ 

Simple  Syrup, 4 ounces. 

Boiling  water,  - - - - - - 4 “ 

Dissolve  the  extract  of  Logwood  in  the  water,  and  then  add  the 
other  articles.  Give  a teaspoonful  every  three  or  four  hours.  As 
drink  give  Gum  Arabic  water,  or  Slippery  Elm  water. 


ALLOPATHIC. 

When  the  vomiting  is  severe  and  obstinate,  give  the  following  . 


Camphor,  - ... 

1 drachm. 

Sulphuric  Ether,  .... 

- 1 ounce. 

Mix.  Dose,  ten  drops  every  half  hour. 

If  this  does  not  stop  it,  give  this  : 

Sugar  of  Lead,  .... 

- 4 grains. 

Vinegar,  - 

- 6 drops. 

Loaf  sugar,  - 

- 4 drachms. 

Soft  water,  ..... 

- 1 ounce. 

Mix.  Dose,  a teaspoonful  every  hour  or  two. 


4oB 


OtJR  FAMILY  PHYSICIAN. 


Sometimes  a spice  plaster  laid  over  the  whole  abdomen  will 
relieve  readily. 

For  the  diarrhoea  give  the  compound  Syrup  of  Rhubarb  and 
Fotassa.  If  the  stools  are  sour,  dark  colored,  and  very  offensive, 
give  the  following  : 

Pulverized  Charcoal,  drachms. 

u Rhubarb,  - - - - * 35  grains. 

“ Ipecac, 6 “ 

Extract  of  Hyosciamus,  - - - - 10  “ 

Mix.  Make  into  twelve  powders,  and  give  a powder  every  three 
or  four  hours. 

Or  this : 

Tartrate  of  Iron, 35  grains. 

Soft  water, 2 ounces. 

Syrup  of  Ginger, £ ounce. 

Mix.  Dose,  twenty  to  forty  drops  every  three  hours.  These 
two  mixtures  may  be  given  in  alternation  every  three  hours,  if  one 
alone  does  not  have  the  desired  effect.  Sometimes  the  following 


will  be  found  effective  : 

Pulverized  Rhubarb, 

20 

grains 

Leptandrin, 

- 10 

u 

Calcined  Magnesia, 

35 

u 

Pulverized  Cinnamon, 

10 

u 

Mix.  Dose,  three  or  four  grains  every  three  hours. 


HOMEOPATHIC. 

Ipecac.  — This  is  generally  the  most  important  remedy.  To  be 
given  wThen  there  is  nausea  and  vomiting,  with  watery  diarrhoea, 
green  or  fermented  stools,  with  white  flocks ; tongue  coated ; 
great  thirst. 

Veratrum.  — Where  the  attack  has  been  violent,  and  there  is 
great  exhaustion  from  vomiting,  or  when  the  vomiting  comes  on 
in  paroxysms,  or  from  the  slightest  movement  ; brownish  or  watery 
evacuations,  and  coldness  of  the  extremities ; face  pale,  eyes 
sunken,  great  thirst. 

Chamomilla.  — Mucous  or  sour  vomiting  ; passages  look  like  stir- 
red eggs,  or  green  or  slimy,  with  pains  like  colic  ; fever  worse  at 
night.  Better  adapted  to  children  when  they  are  cross  and  fretful 
from  teething. 

Mercurius.  — Stools  attended  with  colic  and  straining ; passages 
greenish  and  sour,  sometimes  mixed  with  blood;  the  child  smells 
sour.  Rheum  is  also  good  for  the  same  symptoms. 


DISEASES  OF  INFANTS.  439 

Podophyllin.  — Cramp  like  pains ; stools  frothy,  slimy  and  very 
offensive ; child  moans  in  his  sleep,  and  rolls  his  head. 

Carlo  Vegetabilis. — Stools  smell  putrid,  are  very  thin,  and  at- 
tended with  burning  pain. 

Arsenicum . — For  great  prostration  and  weakness;  nausea;  vom- 
iting of  everything;  stools  brown,  green,  or  yellowish,  and  very 
offensive ; skin  dry,  or  cold  and  clammy ; lips  and  tongue  black  and 
cracked ; moans  in  his  sleep ; abdomen  hard  and  swollen. 

Calcarea.  — For  cases  of  long  standing,  where  there  is  great 
emaciation  and  weakness ; abdomen  hard  and  swollen ; stools 
mushy  and  clay-colored;  skin  withered  and  dry. 

Sulphur.  — This  remedy  is  indicated  in  about  the  same  cases  as 
Calcarea.  When  the  disease  appears  to  be  affecting  the  head, 
Aconite,  Hellebore,  Belladonna,  or  Bryonia. 

Administration  of  Remedies. — Where  the  attack  is  sudden,  dis- 
solve twelve  globules  in  twelve  teaspoonfuls  of  water,  and  give  a 
teaspoonful  every  fifteen  minutes  or  half  hour,  until  the  child  ias 
better  Where  the  case  has  continued  for  a long  time,  give  a dose 
every  two  or  four  hours. 


Croup  or  Cynauche  Trachealis. 

Croup  is  divided  into  two  forms  : Spasmodic  and  Membranous. 
The  former  is  sometimes  called  false  croup,  and  the  latter  the  true. 
Children  under  five  years  of  age  are  more  liable  to  it  than  others, 
although  older  persons  have  been  attacked,  even  up  to  seventy 
years.  It  is  very  alarming,  from  the  suddeness  of  its  attack,  and 
the  quickness  with  which  it  produces  fatal  results. 

Causes . — It  is  most  frequent  in  cold,  damp,  climates  and  is  gen- 
erally produced  by  sudden  and  frequent  changes  in  the  weather. 
It  is  supposed  by  some  to  be  hereditary,  and  would  certainly  ap- 
pear to  be,  from  the  fact  that  the  children  of  some  families  are 
always  liable  to  it  on  the  least  exposure. 

Symptoms.  — Croup  generally  commences  with  symptoms  of 
catarrh,  or  cold  in  the  head  ; a dry  cough,  hot  skin,  quick  pulse, 
and  thirst ; and  rattling  in  the  throat,  and  great  restlessness  at 
night.  The  most  certain  symptom  is  the  hoarseness,  the  patient 
almost  losing  his  voice.  The  cough  is  dry  and  short.  These  symp- 
toms may  continue  for  a day  or  two,  vrhen  about  midnight  the 


440 


OUE  FAMILY  PHYSICIAN. 


child  will  be  awakened  by  a violent  paroxysm  of  coughing  ; the 
cough  is  hoarse  and  ringing,  and  once  heard  will  never  be  forgotten ; 
the  breathing  is  hurried  and  hissing  ; the  face  is  flushed,  skin  hot, 
and  a profuse  perspiration  breaks  out  ; he  tosses  wildly  about  from 
one  side  to  the  other,  with  clenched  hands,  and  protruding  eye- 
balls. As  morning  approaches  the'  symptoms  decline,  and  the 
child  may  fall  to  sleep.  During  the  day  he  may  appear  well,  ex- 
cept a slight  hoarseness,  and  perhaps  some  fever.  Towards  eve- 
ning however,  the  hoarseness  increases,  and  he  will  be  awakened 
from  sleep,  as  on  the  night  before,  by  a more  violent  paroxysm  than 
the  first.  The  cough  becomes  more  strangulating  and  difficult  ; 
the  obstruction  to  the  passage  of  air  is  increased  ; the  face  assumes 
a dark,  leaden,  dusky  hue ; the  pulse  is  feeble ; the  voice  broken 
and  suppressed ; the  head  is  thrown  back  to  enable  the  sufferer  to 
breathe,  and  the  face  is  puffed ; the  muscles  of  the  neck,  chest,  and 
abdomen,  are  brought  into  powerful  action,  and  the  breathing  is 
loud  and  hissing  ; the  child  throws  himself  about  the  bed,  seeking 
in  vain  for  relief,  and  his  whole  appearance  is  one  of  intense  agony 
and  suffering;  he  grasps  at  his  throat  as  if  to  tear  away  the  ob 
struction ; drowsiness  slowly  comes  on,  the  breathing  is  interrupted ; 
he  gasps  convulsively,  and  death  closes  the  horrible  scene.  Croup 
may  however  come  on  very  suddenly,  the  child  going  to  bed  in  per- 
fect health,  and  be  attacked  in  the  night.  This  form  is  not  so 
dangerous,  unless  allowed  to  run  on,  without  efforts  being  made  to 
stop  it.  Again,  the  child  may  have  a hoarse,  croupy  cough  for 
several  days,  and  at  the  time  when  the  parents  are  least  expecting 
it,  he  will  be  seized  with  a violent  paroxysm,  which  may  terminate 
fatally.  An  attack  of  croup  may  last  from  twenty-four  hours  to 
fifteen  days.  When  complicated  with  bronchitis,  pneumonia,  or 
after  scarlet  fever,  measles  or  quinsy,  it  is  much  more  dangerous. 

TREATMENT. ALLOPATHIC. 

When  the  child  has  a cough  with  hoarseness  and  loss  of  voice, 
prompt  measures  will  generally  arrest  the  attack  in  this  stage 
Clear  the  bowels  with  a small  dose  of  calomel ; in  an  hour  give  a 
solution  of  a grain  of  tartar  emetic  in  an  ounce  of  water,  of  which 


DISEASES  OF  INFANTS. 


441 


a teaspoonful  should  be  given  every  fifteen  minutes  until  vomiting 
is  produced.  Mustard  poultices,  or  bot  bran  poultices,  should  be 
applied  to  the  neck.  It  is  also  recommended  to  apply  a good  sized 
sponge,  wet  in  water,  as  hot  as  can  be  borne,  to  the  throat,  renew- 
ing it  as  soon  as  it  begins  to  cool.  Keep  it  up  until  the  skin  looks 
very  red,  or  the  child  is  better.  This  means,  however,  may  be 
used  only  at  the  beginning  of  the  disease.  If  this  treatment  is 
not  effective,  give  the  following: 

Dover’s  Powder,  • • • • » 15  grains. 

Calomel,  - --  --  --  5 grains. 

Mix,  Divide  into  ten  powders,  and  give  one  every  three  hours. 

Dr.  Ransom’s  Hive  Syrup  and  Tolu,  prepared  by  D.  Ransom,  Son  & 
Co.,  of  Buffalo,  N.  Y.,  should  be  given  as  soon  as  possible.  It  can 
be  found  at  any  drug  store,  but  inasmuch  as  croup  is  of  a very 
insidious  nature,  often  attacking  children  without  warning,  it  is 
well  to  keep  this  remedy  in  the  house  for  instant  use  in  case  of 
need.  This  syrup  is  also  of  great  value  in  cases  of  cough,  whooping- 
cough,  etc.  The  dose  is  prescribed  with  each  bottle. 

HOMEOPATHIC. 

When  the  first  symptoms  make  their  appearance,  such  as  hoarse 
cough,  with  fever,  give  Aconite  and  Spongia  in  alternation,  every 
hour.  If,  however,  the  child  is  awakened  from  sleep,  with  the 
peculiar  crowing,  barking  cough  of  croup,  give  Tartar  Emetic  and 
Spongia  in  alternation,  every  ten  or  fifteen  minutes.  A warm  bath 
is  beneficial  when  the  symptoms  are  severe.  It  should  be  about 
96  degrees,  at  first,  and  gradually  made  warm  by  the  addition  of 
hot  water.  When  taken  from  the  bath,  he  should  be  wiped  dry, 
quickly , and  well  wrapped  up.  Cloths  wet  in  cold  water,  applied 
to  the  throat,  and  covered  with  flannel,  will  be  found  of  great  ser- 
vice. For  the  ringing,  moist,  and  loose  cough,  which  remains  after 
the  violence  of  the  paroxysm  has  subsided,  give  Spongia  and  Hepar 
in  alternation,  every  hour. 

When  the  cough  is  loose,  and  there  is  rattling  of  mucus  in  the 
throat  and  chest,  and  spitting  of  thick  phlegm,  give  Tartar  Emetic 
in  alternation  with  Hepar  Sulphur,  half  an  hour  or  an  hour  apart. 
For  the  hoarseness  remaining  after  an  attack,  and  to  prevent  a 
return  the  following  night,  give  Phosphorus  or  Hrpar  Sulphur, 
a dose  every  two  or  four  hours.  When  the  attack  has  become 
very  violent,  and  there  is  evidence  of  the  formation  of  a false 
membrane,  and  the  child  is  threatened  with  suffocation,  give  Kali 
Bichromacum.  A small  powder  should  be  given  every  three  or 
five  minutes.  If  this  does  not  relieve,  give  Arsenicum,  and  use  hot 


442 


01 Jft  FAMILY  PHYSICIAN. 


applications  to  the  throat.  When  the  breathing  is  very  labored, 
wheezing,  rough  cough,  gasping  for  air,  great  danger  of  suffocation, 
give  Bromine.  Phosphorus  alone,  or  in  alternation  with  Lachesis, 
is  also  valuable  in  these  severe  forms. 

Administration  of  Remedies.  — If  the  remedy  is  in  globules,  dis- 
solve twelve,  in  twelve  teaspoonfuls  of  water.  If  in  powder,  give 
a portion  the  size  of  a small  pea. 

Diet.  — This  should  be  oat-meal  gruel,  barley  water,  toast  water 
or  milk. 


ECLECTIC. 

The  first  thing  to  be  done  is  to  administer  an  emetic.  The 
Tincture  of  Lobelia  is  about  the  best.  This  may  be  given  in 
teaspoonful  doses  every  ten  minutes,  until  vomiting  takes  place. 
Another  effective  emetic  is  powdered  alum  in  molasses,  or  honey, 
given  every  ten  minutes.  A tea  made  of  the  Seneca  root,  or 
Blood  root,  will  be  found  good  to  dissolve  the  membrane  which 
forms  in  the  throat.  As  soon  as  the  emetic  begins  to  operate,  give 
a strong  tea  of  Sumach  and  Bayberry.  Where  the  bowels  are 
constipated,  give  equal  parts  of  Squills  and  Castor  Oil,  in  teaspoon- 
ful doses  every  hour,  until  they  operate  on  the  bowels.  These 
must  not  be  given  while  you  are  giving  an  emetic.  Roasted  onions 
roasted  apples,  and  cranberries  have  been  recommended  as  applica- 
tions to  the  throat.  The  best,  however,  is  the  plaster  made  of 
snuff  and  lard.  Mix  a teaspoonful  of  the  snuff  with  a little  lard, 
spread  it  upon  a cloth,  and  apply  to  the  throat  and  chest.  Hive 
syrup  is  a valuable  remedy,  and  should  be  al'ways  kept  on  hand. 
It  may  be  given  in  doses  of  a teaspoonful,  every  ten  minutes,  until 
vomiting  is  produced. 

When  the  disease  first  appears,  cotton  wet  in  equal  parts  of 
camphor  and  vinegar,  or  whiskey,  warm,  and  applied  to  the  throat, 
will  be  beneficial.  When  the  disease  is  obstinate,  a poultice  of 
Red  Pepper,  Slippery  Elm,  and  Lobelia,  each  pulverized,  and  made 
with  hot  water,  and  applied  to  the  throat  and  chest,  will  generally 
relieve.  It  should  be  changed  as  often  as  it  cools.  A liniment 
composed  of  Plartshorn  spirits,  ounce  ; Laudanum,  £ ounce  ; Tur- 
pentine, ^ ounce;  Sweet  oil,  -J-  ounce.  Mix,  and  apply  to  the 
throat  and  chest.  In  very  young  children  a poultice  of  Hops 
boiled  in  hot  water,  will  be  found  an  excellent  application.  Dur- 
ing the  day,  when  the  symptoms  are  better,  an  expectoration 
should  be  kept  up  by  some  of  the  following:  an  infusion  of  three 
parts  of  Lobelia,  and  one  of  Blood  root ; an  infusion  of  Horse-rad- 
ish in  vinegar;  small  doses  of  Wine  of  Ipecac. 


DISEASES  OF  INFANTS. 


443 


Whooping  Cough  {Pertussis). 


This  is  a contagious  disease,  occurring  generally  but  once  in  the 
same  person.  The  complaint  commences  with  hoarseness,  sneezing, 
and  other  symptoms  of  a cold.  It  is  characterized  by  a convulsive 
paroxysm  of  cough,  which  is  attended  with  hissing  breathing,  and 
rattling  in  the  windpipe,  the  convulsive  breathing  attended  by  a 
whooping  sound,  until  a quantity  of  thick,  ropy  mucus  is  thrown  up, 
when  the  breathing  is  again  free.  During  the  paroxysms  of  cough- 
ing the  child’s  face  is  red,  and  there  is  sweating  about  the  head,  and 
agitation  of  the  whole  body  ; blood  sometimes  starts  from  the  nos- 
trils, and  he  involuntarily  passes  water,  or  evacuates  the  bowels. 


TREATMENT. — ALLOPATHIC. 

An  almost  infallible  remedy  for  this  distressing  disease  is  vaporized 
Cresolene.  It  is  now  a thoroughly  demonstrated  fact  that  whoop- 
ing cough  is  the  direct  result  of  a fungus  growth,  the  contagion 
spreading  by  means  of  spores  thrown  off  while  coughing.  The  fumes 
of  Cresolene  are  destructive  to  the  fungus  in  the  throat,  and  the  mi- 
nute germs  thrown  off  in  the  act  of  coughing,  and  hence  the  value 
of  this  method  of  treatment.  The  only  effective  way  to  use  the  rem- 
edy is  by  means  of  Page’s  Vaporizer,  wiiich  can  readily  be  procured 
at  any  drug  store,  with  the  directions  for  using,  and  the  requisite 
supply  of  Cresolene.  Treated  in  this  way,  the  most  stubborn  cases 
of  whooping  cough  will  yield  in  a few  days,  and  thus  the  distress 
and  danger  of  weeks  of  suffering  can  be  avoided.  The  fumes  of 
Cresolene  are  also  of  great  value  in  the  treatment  of  Croup,  Dipthe- 
ria  and  Scarlet  Fever,  preventing  the  spreading  of  these  contagious 
and  greatly  dreaded  diseases.  As  a disinfectant  in  any  case  of  sick- 
ness it  is  unequalled. 

The  following  will  be  found  to  give  relief  in  some  cases : 

Tincture  of  Aconite,  -----  1 drachm. 

Tincture  of  Hyosciamus,  - - - - 1 “ 5 

Tartar  Emetic  ------  1 grain. 

Morphine,  - - - - - - 1 “ 

Simple  Syrup, 4 ounces. 


444 


OtJR  FAMILY  PHYSICIAN. 


Mix.  Dose,  for  a child  from  three  to  six  years  old,  one  tea- 
spoonful three  or  four  times  a day.  This  may  be  used  after  the 
paroxysms  have  been  subdued  and  the  cough  still  remains  trouble- 
some. 

The  following  ointment  may  be  applied  to  the  spine  and  will  be 
found  useful  in  some  cases : 

Laudanum,  1 ounce. 

Oil  of  Amber,  - - - - 1 u 

Alcohol,  • - - - - • 2 ounces. 

Sweet  Oil, 2 “ 

Mix. 

The  following  is  recommended : 

Tincture  of  Lobelia,  ^ ounce. 

Syrup  of  Squills, b “ 

Mix.  Dose,  for  a child  two  years  old,  twenty  drops  four  or  five 
times  a day. 

ECLECTIC  AND  HERBAL. 

The  saturated  tincture  of  Black  Cohosh  is  recommended  by  Dr. 
P.  Cook,  of  Philadelphia.  To  a child  one  year  old,  give  from  fif- 
teen to  twenty  drops,  four  or  five  times  a day. 

The  following  is  a valuable  remedy  : 

Extract  of  Belladonna,  - - - - 10  grains. 

Alcohol,  - ...  -Jounce 

Mix  thoroughly,  and  add  simple  syrup,  four  ounces,  and  pulver- 
ized Alum,  one  drachn^.  Dose,  a teaspoonful  every  three,  four,  or 
five  hours. 

An  infusion  of  Maiden  Hair  drank  freely,  will  be  found  a valu- 
able remedy. 

The  following  has  been  used  with  considerable  success  : 

Dilute  Nitric  Acid,  ....  1 drachm. 

Simple  Syrup, 3 ounces. 

Mix.  Dose,  a teaspoonful  every  three,  four,  or  five  hours. 

HOMEOPATHIC. 

A very  valuable  remedy  is  Mephitis  Putorius.  A dose  may  be 
given  every  four  hours.  Drosera  is  another  valuable  remedy, 
especially  when  the  following  symptoms  are  present : dry,  spas 
modic  cough,  worse  at  night  ; when  coughing,  the  child  presses  its 
hand  upon  the  pit  of  the  stomach  j severe  fits  of  coughing  follow 


DISEASES  OF  INFANTS. 


445 


ing  each  other  in  quick  succession,  with  hemorrhage  from  the  mouth 
and  nose  ; cough  excited  by  talking,  or  laughing  ; expectoration 
of  thick,  tough  phlegm. 

Corallia . — May  be  given  in  some  cases  with  great  benefit. 

Aconite.  — May  be  given  when  there  is  much  fever,  with  short, 
dry  cough,  and  pain  in  the  chest.  This  remedy  may  be  given  in 
alternation  with  Bryonia  or  Phosphorus,  especially  when  there  is 
threatened  inflammation  of  the  lungs. 

Tartar  Emetic.  — When  at  the  commencement,  there  is  hard, 
suffocating  cough,  and  when  there  is  rattling  of  mucus  in  the  chest, 
paroxysms  of  cough,  with  immediate  danger  of  suffocation,  cough 
caused  by  tickling  in  the  throat,  short  fits  of  coughing  following 
in  quick  succession.  Ipecac  will  be  beneficial  where  the  same 
symptoms  are  present. 

Chamomilla. — Wheezing’and  rattling  at  each  inspiration,  cough 
excited  by  an  irritation  of  the  windpipe,  the  child  is  cross  and 
fretful. 

Cuprum.  — Frequent  fits  of  coughing  with  stiffness  of  the  whole 
body,  and  rattling  of  mucus  in  the  windpipe,  prostration  after  a 
fit  of  coughing. 

Other  remedies  are  Carbo  Veg.,  Dulcamara,  Cina,  Belladonna, 
Mercury,  Opium,  Hellebore. 

Administration  of  Remedies.  — Of  the  remedy  chosen,  dissolve 
twelve  pills  in  twelve  teaspoonfuls  of  water,  and  give  a teaspoon- 
ful every  two,  three,  or  six  hours. 


Couo. 


This  is  a very  frequent  and  troublesome  disorder  of  infants.  It 
is  frequently  caused  by  cold,  or  by  some  mental  emotion  of  the 
mother,  affecting  the  milk.  The  child  screams,  kicks,  and  draws 
up  its  legs.  Frequently  there  is  stoppage  of  the  urine. 


TREATMENT. ECLECTIC  AND  HERBAL. 

Spearmint  or  peppermint  tea,  with  a little  sugar  and  saleratus 
water,  will  generally  relieve.  Paregoric  may  be  given  in  doses  of 
from  ten  drops  to  a teaspoonful.  An  injection  of  salt  and  water 


446 


OUE  FAMILY  PHYSICIAN. 


will  often  give  instant  relief.  Half  a teaspoonful  of  Castor  Oil 
and  half  a teaspoonful  of  Paregoric  mixed,  will  be  good.  Ginger 
tea,  or  Anise  seed  tea  may  be  used  with  advantage.  Hot  flannel 
cloths  should  be  put  to  the  stomach,  and  a bottle  of  hot  water  to 
the  feet. 


HOMEOPATHIC. 

Chamomtlla — May  be  given,  especially  if  there  is  swelling  of 
the  abdomen,  the  child  cries,  twists  the  body,  and  draws  up  its 
knees,  coldness  of  the  extremities.  If  in  addition  to  these  symp- 
toms there  is  nausea,  vomiting,  and  diarrhoea,  rumbling  of  wind, 
and  shivering,  give  Pulsatilla. 

If  the  bowels  are  constipated,  give  Nux  Vomica.  If  the  dis- 
charges are  fermented,  and  have  a putrid  odor,  give  Ipecac.  If 
the  evacuations  are  of . a sour  smell,  give  Rheum.  When  it  is 
caused  by  worms  give  Cina,  Sulphur,  Mercurius.  If  there  is  rest- 
lessness, sleeplessness,  and  feverish  heat,  and  crying,  give  Coflea 
and  Belladonna,  in  alternation  (turn  about.)  A tepid  bath  will 
frequently  relieve  the  sufferings  of  the  infant. 

Administration  of  Remedies . — Put  two  or  three  globules  dry 
upon  the  tongue,  or  dissolve  twelve  globules  in  twelve  teaspoon- 
fuls of  water,  and  give  a teaspoonful  at  a dose,  repeating  every 
fifteen  minutes,  half  hour  or  hour. 

ALLOPATHIC. 

If  there  is  constipation,  give  an  injection  of  a teaspoonful  of 
of  Castor  oil,  and  an  ounce  of  a warm  infusion  of  Peppermint  or 
Spearmint.  An  infusion  of  Peppermint  water,  or  an  infusion  of 
Fennel  seed,  will  generally  be  sufficient  to  overcome  an  attack. 

If  the  attack  is  caused  by  worms,  give  the  following : 

Assafoetida,  ......  1 drachm. 

Water, 4 ounces. 

Rub  together  until  thoroughly  mixed.  Then  add  two  ounces 
of  Syrup  of  Ginger.  Dose,  a teaspoonful.  The  bowels  may  be 
acted  upon  with  the  syrup  of  Rhubarb,  or  Sweet  Tincture  of  Rhu- 
barb, with  a little  soda  in  it. 

Worms. 

For  the  treatment  of  worms,  see  Section  I,  Chapter  XII. 

Inflammation  of  the  Brain. 

For  the  treatment  of  this  disease,  see  Section  I,  Chapter  H. 


DISEASES  OF  INFANTS. 


447 


Mumps  or  Parotitis. 

This  disease  is  an  inflammation  of  the  parotid  gland.  This 
gland  is  situated  under  the  ear,  at  the  angle  of  the  jaw,  and  assists, 
in  connection  with  the  submaxillary  gland,  (situated  beneath  the 
lower  jaw,)  and  the  sub-lingual  gland,  (situated  under  the  tongue,) 
in  secreting  or  producing  the  saliva.  This  disease  is  met  with 
oftener  in  children  over  seven  years,  than  in  those  younger,  and  is 
undoubtedly  contagious,  so  that  when  one  child  in  a school  or 
family  is  affected,  others  are  very  likely  to  be  taken  with  it.  It 
very  seldom  attacks  a child  the  second  time. 

Symptoms.  — It  generally  commences  with  slight  fever,  and 
symptoms  of  catarrh.  The  neck  becomes  stiff,  and  moving  the 
jaw,  either  for  speaking  or  eating,  is  painful.  In  about  twenty- 
four  hours,  a swelling  makes  its  appearance  at  the  angle  of  the 
lower  jaw,  which  increases  rapidly  in  size.  The  swelling  is 
hot,  dry,  and  tender  to  the  touch.  The  color  of  the  skin  is 
unchanged  unless  the  glands  of  both  sides  be  swollen,  press- 
ing upon  the  veins,  thus  preventing  the  free  return  of  the  blood 
from  the  head  to  the  heart.  The  disease  is  not  dangerous,  unless 
from  taking  cold  or  some  other  cause,  it  is  transferred  to  the  testi- 
cles in  the  male,  or  the  breast  in  the  female.  Sometimes,  but  very 
rarely  it  is  transferred  to  the  brain.  The  inflammation  reaches  its 
height  in  three  or  four  days,  and  finally  disappears  in  about  ten 
days  or  two  weeks. 

TREATMENT . HOMEOPATHIC . 

The  principal  remedy  is  Mercurius,  of  which  a dose  (four 
globules)  may  be  taken  twice  a day. 

Belladonna. — When  the  swelling  is  hot  and  dry,  or  when  it 
affects  the  brain,  producing  delirium,  and  unconsciousness.  Dis- 
solve twelve  globules  in  as  many  teaspoonfuls  of  water,  and  give 
a teaspoonful  every  hour.  If  this  does  not  relieve  in  a few  hours, 
give  Irlyosciamus  in  the  same  manner. 

If  the  swelling  falls  upon  the  testicles,  give  Pulsatilla,  or  Nux 


443 


OUR  FAMILY  PHYSICIAN. 


Vomica,  a dose  (four  globules),  every  two  or  three  hours.  Warm 
flannels  worn  around  the  neck  will  be  found  beneficial. 

Diet  and  Regimen.  — The  diet  must  be  light,  as  baked  apples, 
stewed  prunes,  toast  and  black  tea,  cocoa,  etc.  Keep  the  patient 
warm,  and  if  feverish  he  must  stay  in  bed. 

ECLECTIC  AND  HERBAL. 

If  the  swellings  are  painful,  get  the  child  into  a sweat  by  soaking 
the  feet  in  hot  water,  and  allowing  him  to  drink  teas  of  Balm, 
Catnip,  Spearmint,  or  Pennyroyal,  and  give  a dose  of  Paregoric. 
If  the  symptoms  are  severe,  give  the  compound  Powder  of  Ipecac 
and  Opium.  Keep  the  bowels  open  with  small  doses  of  Castor  Oil 
or  Epsom  Salts.  A liniment  made  as  follows  is  a good  application  : 
Castile  Soap,  Gum  Camphor,  Oil  Sassafras,  Spirits  of  Hartshorn, 
and  Spirits  of  Turpentine,  each,  one  ounce;  alcohol,  two  ounces. 
Mix. 

When  the  swelling  is  transferred  to  the  testicles,  or  breasts, 
apply  a blister  plaster  behind  the  ears  to  bring  it  back.  Give  the 
Compound  Tincture  of  Virginia  Snake  root,  to  produce  a perspira- 
tion. Poultices  of  Hops  and  Stramonium  leaves,  equal  parts, 
made  with  hot  water,  should  be  applied  to  the  parts.  A poultice 
of  Chamomile  flowers  will  also  be  found  useful. 


ALLOPATHIC. 

Take  the  following : 

Rochelle  Salt  or  Tartrate  of  Potash,  - I ounce. 

Carbonate  of  Magnesia,  ...  1 drachm. 

Mint  or  Peppermint  water,  - - - 6 ounces. 

Mix.  Give  one  fourth  part  for  a dose  once  or  twice  a day. 

Or  this : 

Solution  of  Acetate  of  Ammonia,  - - 1-|  ounces. 

Sweet  Spirits  of  Nitre,  ...  2 drachms. 

Syrup,  -------  2 “ 

Camphor  Mixture,  ....  4 ounces. 

Mix.  Dose,  one  fourth  part  ever y three  or  four  hours. 

If  the  symptoms  are  severe  give  four  to  six  grains  of  Dover’s 
powder;  if  there  is  costiveness  the  compound  powder  of  Jalap.  If 
the  testicles  or  breasts  swell,  leeches  must  be  applied,  and  physic 
must  be  freely  used.  Induce  sweating  by  the  Compound  Tincture 
of  Virginia  Snake  root,  or  the  vapor  bath. 


SECTION  IV.  — MISCELLANEOUS  DISEASES. 


CHAPTER  I.  — RHEUMATISM. 

THIS  is  an  inflammation  caused  by  an  irritating  poisonous  matter 
in  the  blood.  It  is  divided  into  two  forms,  acute  or  inflamma 
tory,  and  chronic. 

Symptoms  of  Acute  Rheumatism. — Acute  rheumatism  is  generally 
preceded  with  languor,  chilliness,  heat,  full  bounding  pulse,  profuse 
sweat,  which  has  a sour  smell  ; these  symptoms  are  soon  followed 
by  stiffness  in  the  muscles  with  soreness,  and  e^  ;nciating  pains  in 
the  different  joints  of  the  body,  particularly  i,i  tne  joints  of  the 
toes,  ankles,  shoulders,  elbows,  knees  and  wrists.  The  pains  shift 
from  one  joint  to  the  other  and  are  always  accompanied  with  swell- 
ing of  the  part,  redness,  and  great  tenderness  to  the  touch.  An 
attack  is  sometimes  confined  to  one  joint  or  limb, .but  more  fre 
quently  changes  about.  Frequently  the  heart,  or  its  covering  is 
attacked,  and  the  disease  is  then  peculiarly  dangerous.  It  may 
also  attack  the  lungs,  liver,  stomach,  bowels,  etc. 

Acute  rheumatism  is  liable  to  be  confounded  with  gout  ; gout, 
however,  is  usually  confined  to  one  spot,  and  attacks  the  smaller 
joints,  particularly  the  toes,  and  is  preceded  by  dyspeptic  symp- 
toms ; the  fever  and  pain  at  night  are  not  so  severe  as  in  rheuma- 
tism. Chronic  rheumatism  may  follow  the  acute,  but  is  more  ire- 

29 


450 


OUR  FAMILY  PHYSICIAN. 


quently  found  independent  of  any  previous  inflammation.  It  is 
seldom  accompanied  with  any  marked  fever.  It  is  a very  obsti- 
nate complaint,  but  maybe  cured  when  early  and  properly  treated. 

The  Symptoms  — Consist  of  pain,  lameness  and  stiffness  of  the 
different  joints,  and  other  parts  of  the  body  ; the  pains  are  gene- 
rally worse  at  night,  commencing  on  going  to  bed;  the  joints  are 
often  swollen,  but  not  so  much  so  as  in  the  acute  form  ; when  the 
patient  remains  at  rest  for  a time,  he  will  have  pain  and  stiffness 
in  the  affected  part,  which  will  disappear  after  moving  about  for  a 
time. 

Causes . — Acute  rheumatism  is  generally  caused  by  exposure  to 
damp  or  cold,  by  wearing  damp  clothing,  lying  in  damp  beds,  etc. 

TREATMENT. ECLECTIC  AND  HERBAL. 

In  the  treatment  of  acute  rheumatism,  the  first  thing  to  be 
effected  is  the  production  of  a copious  perspiration  ; for  this  pur- 
pose, a warm  vapor  bath  may  be  used,  or  the  patient  may  be  placed 
in  a well  warmed  bed  with  bottles  of  hot  water,  or  ears  of  boiled 
corn  placed  around  him,  Warm  drinks,  such  as  Pennyroyal,  Cat- 
nip, Sage,  and  Flaxseed  tea,  should  be  freely  administered.  The 
compound  tincture  of  Virginia  Snakeroot,  given  in  a warm  infu- 
sion of  Pleurisy  root,  will  generally  produce  free  perspiration. 
When  the  disease  is  connected  with  a disordered  state  of  the  liver, 
an  emetic  is  useful,  followed  by  a carthartic,  as  Epsom  Salts  or 
cathartic  pills.  The  compound  powder  of  Jalap  will  act  upon  the 
bowels  readily.  Over  the  painful  and  swollen  joints,  apply  warm 
or  cold  fomentations  of  Hops  and  Lobelia,  or  Hops  and  Stramo- 
nium leaves,  or  poultices  of  Flaxseed  meal,  or  bran  or  rye  meal 
may  be  used.  Equal  parts  of  Vinegar  and  Whisky  made  warm 
and  rubbed  on  the  painful  joints,  will  sometimes  relieve  the  pain 
The  best  application,  however,  is  fresh  leaves  of  Stramonium,  which 
should  be  bruised,  moistened  with  a little  water,  and  applied  over 
the  parts,  and  renewed  three  or  four  times  a day.  After  the  hot 
applications  have  been  used,  the  parts  should  be  covered  with  cot- 
ton batting,  about  a quarter  of  an  inch  thick,  and  a piece  of  flan- 
nel spread  over  it,  so  as  to  retain  the  heat  and  moisture.  Inter- 
nally, a mixture  of  equal  parts  of  the  tincture  of  Black  Cohosh 
root,  and  the  tincture  of  Colchicum  seeds,  may  be  given  in  doses 
of  from  ten  to  sixty  drops,  according  to  circumstances,  every  one, 
two  or  three  hours.  During  the  severity  of  the  symptoms,  when 
the  fever  is  high,  from  three  to  eight  drops  of  the  tincture  of  Aco- 
nite root  may  be  added  to  each  dose  ; this,  however?  should  be 


MISCELLANEOUS  DISEASES. 


451 


omitted  in  the  early  part  of  each  day  when  the  remission  occurs, 
and  a grain  or  two  of  Quinine  to  each  dose  should  be  substituted. 

Being  a blood  disease,  a remedy  that  will  correct  the  bad  state  of 
the  blood  is  essential.  For  some  years  past  a medicine  put  up  by  a 
New  York  drug  house,  B.  W.  Robinson  & Co.,  and  said  to  be  the 
prescription  of  a noted  physician,  has  grown  rapidly  into  favor,  and 
many  people,  including  not  a few  doctors,  believe  it  to  be  almost  a 
specific.  It  is  known  as  “ Sura  Cura,”  or  “Robinson’s  Sure  Cure 
for  Rheumatism.”  It  is  an  internal  remedy  (in  powder),  designed  to 
act  directly  upon  the  blood,  and  its  friends  claim  that  it  will  elimin 
ate  from  the  system  all  forms  of  rheumatism,  and  that  it  also  is  good 
for  neuralgia. 

Another  excellent  remedy  is  as  follows : 

Saturated  Tincture  of  Rhus  Toxicodendron,  ounce. 

Tincture  of  Aconite  Root,  - - - - 2 drachms. 

Volatile  Tincture  of  Guaiacum,  2 “ 

Mix.  Dose,  thirty  or  forty  drops  every  three  or  four  hours. 

When  one  of  the  internal  organs,  as  the  heart,  stomach,  or  liver, 
is  attacked,  give  compound  tincture  of  Virginia  Snake  root,  in  tea- 
spoonful  doses,  every  ten  or  fifteen  minutes,  until  free  perspiration 
is  produced. 

In  chronic  rheumatism,  the  bowels  must  be  kept  regular  by  giving 
a mixture  of  two  parts  of  Rhubarb,  and  one  part  ot  bicarbonate  of 
Potassa,  in  doses  of  from  three  to  twelve  grains,  or  sufficient  to  pro- 
duce one  passage  a day. 

The  following  is  a good  preparation  for  the  complaint : 

Magnesia,  ------  1 teaspoonful. 

Wine  of  Colchicum,  - - - - - 1 

Water, 1 wineglassful. 

Take  at  one  dose,  and  repeat  three  or  four  times  a day. 

Equal  parts  of  Balsam  of  Copaiva,  and  Hemlock,  well  mixed,  and 
taken  in  doses  of  a teaspoonful  on  sugar,  is  recommended  by  Dr. 
Cook. 

As  a liniment  the  following  may  be  used : 

Cayenne, £ pound. 

Alcohol,  .------1  pint. 

Let  the  pepper  stand  in  the  spirits  for  ten  days,  and  strain. 

The  following  is  highly  recommended. 

Spirits  of  Camphor,  - - - 1 ounce. 

Spirits  of  Hartshorn*  ounce. 


452 


OUR  FAMILY  PHYSICIAN. 


Spirits  of  Turpentine, 
No.  6,  or  Hot  drops,  - 
Laudanum, 

Neatsfoot  Oil,  - 
One  Beefs  Gall. 


1 ounce. 

1 “ 

1 teaspoonful. 
£ pint 


The  beef  gall  should  be  cut,  and  the  green  stuff  that  is  in  it 
should  be  run  into  a bottle,  and  the  other  articles  added.  Mix 
well,  and  cork  tightly.  Apply  three  times  a day. 

The  following  is  another  excellent  liniment : 

Laudanum,  - - - - - - . ounces. 

Spirits  of  Camphor, u 

Chloroform,  ------  1^  “ 

Sweet  Oil,  ...  1 ounce. 

Mix. 

HOMEOPATHIC. 

Aconite . — Should  be  given  in  the  beginning,  when  the  fever  is 
high ; skin  hot  and  dry ; shooting  and  tearing  pains,  worse  at 
night.  Bryonia  may  be  given  in  alternation,  (turn  about)  with  it, 
when  the  pains  are  worse  on  motion,  or  at  night,  and  when  there  is 
headache  and  swelling  of  the  joints. 

Belladonna . — Maybe  given  when  Bryonia  does  not  relieve,  or 
when  the  parts  are  swollen,  very  red,  and  shining  ; the  patient  is 
sleepless  at  night,  and  complains  of  dryness  in  the  mouth,  and 
throat  ; congestion  of  the  head.  Belladonna  and  Bryonia  may 
sometimes  be  given  in  alternation,  (turn  about)  with  benefit. 

Rhus  Tox. — Pains  worse  during  rest,  parts  swollen  and  red, 
tearing,  or  dragging  pains  in  the  affected  parts,  lameness  and  weak- 
ness of  the  muscles  in  the  vicinity  of  the  diseased  portions,  in- 
crease of  the  fever  and  pains  at  night,  perspiration,  especially  dur- 
ing the  pains. 

Arnica.  — A bruised  or  sprained  feeling  in  the  joints  of  the 
hands,  and  feet,  and  in  the  small  of  back,  with  hard,  red,  and  shin- 
ing swellings,  and  feeling  of  numbness,  and  crawling  in  the  affected 
parts,  pains  aggravated  by  motion.  May  be  given  in  alternation 
with  Rhus. 

Pulsatilla. — Pains  shifting  rapidly  from  one  part  to  another, 
feeling  of  numbness  and  paralysis,  relieved  by  exposure  to  cool 
air. 

Colchicum.  — Pains  are  lancinating,  jerking,  and  tearing,  worse 
at  night,  increased  by  movement. 

Mercury.  — Pains  worse  in  the  heat  of  the  bed,  or  towards  morn 
ing,  the  patient  perspires  freely  without  being  relieved  by  it 
Lachesis  may  be  given  with  Mercury. 

Dulcamara. — Rheumatism,  when  caused  by  exposure  to  cold, 
pains  set  in  at  night  with  a light  feve*. 


MISCELLANEOUS  DISEASES. 


453 


Administration  of  Remedies.  — Dissolve  twelve  globules  of  the 
selected  remedy,  in  twelve  teaspoonfuls  of  water,  and  give  a tea- 
spoonful every  one,  two,  or  three  hours,  according  to  the  severity 
of  the  symptoms,  lengthening  the  intervals  as  the  patient  is 
relieved. 

The  application  of  water  is  of  great  service  in  this  disease ; cold 
bandages  may  be  applied  to  the  affected  parts,  and  changed  fre- 
quently ; the  patient  should  in  the  meantime  keep  in  bed,  well 
covered,  and  drink  freely  of  water.  If  perspiration  is  excited,  he 
should  be  kept  in  it  from  one  to  two  hours,  then  wash  off  with  a 
wet  towel,  and  rub  dry  ; he  may  then  take  a sitting  bath  of  tepid 
water,  until  he  is  perfectly  cooled  off. 

Diet.  — The  patient  must  abstain  from  all  meats  or  soups,  even 
long  after  convalescence  ; he  may  be  allowed,  however,  gruels,  of 
oat  meal,  rice,  etc.,  toast  water  and  cold  water,  warm  or  cold  lem- 
onade and  oranges.  Covering  the  swollen  joints  and  parts 
affected,  with  wool,  or  cotton  batting,  and  laying  over  it  a cover 
of  oiled  silk,  will  sometimes  readily  relieve  the  pain. 

In  chronic  rheumatism,  besides  the  remedies  given  under  acute 
rheumatism,  the  following  may  be  used  : 

Ignatia.  — Pain  as  if  the  flesh  were  detached  from  the  bones  ; 
pain  worse  at  night. 

China. — Pains  worse  on  the  slightest  touch,  with  easy  perspi- 
ration, parts  feel  very  weak. 

Arsenic . — Burning,  tearing  pains,  worse  at  night,  and  in  the 
cold  air,  relieved  by  external  heat. 

Phosphorus . — Tearing,  drawing  pains,  caused  by  the  slightest 
chill,  headache,  dizziness,  oppression  of  the’chest. 

Administration  of  Remedies.  — Give  a dose,  (six  globules)  two 
or  three  times  a day.  If  no  improvement  follows  in  ten  days  or 
two  weeks,  another  remedy  should  be  chosen. 

ALLOPATHIC. 

In  acute  rheumatism,  the  bowels  may  be  opened  with  the  com- 
pound powder  of  Leptandrin  or  the  compound  powder  of  Jalap. 
Perspiration  should  then  be  excited  by  the  following  : 

Tincture  of  Veratrum  Viride,  - - 1 drachm. 

Tincture  of  Black  Cohosh,  - - - 2 ounces. 

Mix.  Dose,  one  teaspoonful  every  one,  two,  or  three  hours 
until  free  perspiration  is  excited. 

The  following  may  be  given  with  good  effect : 

Carbonate  of  Potassa,  2^  drachms. 

Nitrate  of  Potassa, 2^  “ 

Water,  8 ounces. 


454 


OTJB  FAMILY  PHYSICIAN. 


Mix.  Dose,  a tablespoonful  three  time  a day. 

Tincture  of  Black  Cohosh  root,  two  parts,  and  the  tincture  of 
Colchicum  root,  one  part,  given  in  doses  of  forty  drops,  is  a valua- 
ble remedy. 

As  a local  application,  Laudanum  may  be  used,  or  fomentations 
of  Hops  or  Stramonium  leaves. 

In  chronic  rheumatism,  the  tincture  of  Guaiacum  taken  in  doses 
of  a teaspoonful  three  times  a day,  will  be  of  great  benefit.  The 
following  is  highly  recommended: 

Pulverized  Camphor,  2 grains. 

“ Nitrate  of  Potash,  • - - 2 “ 

u Opium,  - • • • • 1 grain. 

Mix,  and  make  into  two  powders,  and  take  one  on  going  to  bed 
at  night. 

Or  this: 

Oil  of  Hemlock,  - • • • • 2 drachms. 

“ “ Origanum,  • ••••!  drachm. 

Camphor,  - - - - 1 “ 

Opium,  - - - - - • -1“ 

Alcohol,  - --  --  --  4 ounces. 

Unless  the  case  is  hopelessly  chronic,  Benson’s  Capcine  Plasters 
worn  on  the  affected  part  will  greatly  relieve  the  pain,  and  will  not 
infrequently  effect  a cure.  In  all  stages  of  this  tedious  disease  the 
use  of  these  plasters  is  very  comforting,  and  they  are  an  excellent 
remedy  for  external  application.  They  are  made  by  Seabury  & 
Johnson,  of  New  York,  but  can  be  had  at  all  drug  stores. 

Gout. 

This  is  very  similar  to  rheumatism.  It  is  found  more  frequently 
among  those  who  live  generously,  and  are  of  indolent  habits,  and 
who  make  use  of  rich  sauces,  wines,  animal  food,  etc. 

Symptoms. — An  attack  sometimes  comes  on  suddenly,  but  fre- 
quently, however,  it  is  preceded  by  symptoms  of  dyspepsia,  head- 
ache, nausea,  coldness  of  the  feet  and  limbs;  numbness  or  pricking 
sensations  in  the  limbs,  constipation;  an  attack  generally  comes 
on  during  the  night,  when  the  patient  is  first  awakened  by  severe, 
burning,  wrenching  pain  in  the  ball  of  the  great  toe,  or  some  other 


MISCELLANEOUS  DISEASES. 


455 


smaller  joint ; the  pain  continues  to  increase  in  violence,  or  after 
twenty-four  hours  it  decreases  ; the  attack  is  liable  to  be  renewed 
every  night.  When  gout  has  continued  for  any  length  of  time, 
there  is  stiffness  and  swelling  of  the  joints,  and  a deposit  of  what 
are  called  “ chalk  stones”  around  the  joints.  It  may  suddenly 
leave  the  joint,  and  fall  upon  some  internal  organ,  as  the  stomach 
or  the  heart,  or  lungs,  and  is  then  exceedingly  dangerous. 

Gout  may  be  known  from  rheumatism  by  the  fact  that  rheuma- 
tism is  usually  found  in  the  larger  joints  and  shifts  about,  while 
gout  seizes  upon  the  smaller  joints,  usually  of  the  hands  and  feet, 
and  is  not  apt  to  change  about.  Rheumatism  is  seldom  preceded 
by  symptoms  of  dyspepsia  ; gout  is,  almost  invariably. 

TREATMENT. HOMEOPATHIC. 

The  same  remedies  given  under  rheumatism  will  be  useful  m 
this  complaint,  and  in  addition  to  those  may  be  mentioned  Antimo- 
nium  Crudum,  when  the  attack  is  attended  with  nausea  ; pain 
worse  after  eating ; and  in  the  night  after  drinking  wine. 

Other  remedies  are,  Ledum,  Sabina,  Cantharides. 

For  chronic  gout ; Calcarea,  Phosphoric  Acid,  Aurum  Muriati- 
cum,  Phosphorus,  Iodine,  Hepar  Sulphur,  Sepia. 

ALLOPATHIC. 

One  teaspoonful  of  the  Wine  of  Colchicum,  may  be  given  two 
or  three  times  day.  This  is  probably  the  best  remedy  in  this  com- 
plaint. After  relief  is  experienced,  it  should  be  continued  in  doses 
of  ten  drops,  for  a few  days,  to  prevent  a relapse. 

The  following  will  be  found  an  excellent  remedy : 

Wine  of  Colchicum  root,  1 drachm. 

Bi-carbonate  of  Potassa,  - - - - 2^  drachms. 

Rochelle  Salts,  -----  2*  “ 

Peppermint  water,  - - - - - 4 ounces. 

Mix.  Dose,  a tablespoonful  three  times  a day. 

Coffee  drank  freely  every  day,  is  said  to  be  an  excellent  remedy. 
Cold  applications  should  never  be  made,  as  the  disease  may  be 
driven  to  another  part.  The  inflamed  joint,  however,  may  be 
bathed  in  a solution  of  Bi-carbonate  of  Soda  in  warm  water. 

ECLECTIC  AND  HERBAL. 

Place  the  foot  in  warm,  weak  saleratus  water,  and  hold  it  there 
for  fifteen  or  twenty  minutes,  and  then  apply  a poultice  of  Stra- 


456 


OUR  FAMILY  PHYSICIAN. 


monium  leaves  ; this  will  generally  afford  relief.  A poultice  made 
of  weak  lye  and  bran,  or  vinegar  and  bran,  applied  warm  will 

sometimes  be  beneficial. 

The  following  liniment  may  be  used  with  good  effect : 

Laudanum,  ......  1 ounce. 

Oil  of  Lobelia,  - - - - - - ^ “ 

Neatsfoot  Oil,  .....  2 ounces. 

Spirits  of  Hartshorn,  - - 1 ounce. 

Mix. 

The  bowels  should  be  opened  with  a teaspoonful  each  of  pow- 
dered Mayapple  root,  and  Cream  of  Tartar,  or  any  other  physic. 
Then  after  that,  use  the  following: 

Tincture  of  Colchicum  seed,  1 ounce. 

Iodide  of  Potassium,  - * * • -1  drachm. 

Distilled  water,  .....  2 ounces. 

Mix.  Dose,  a teaspoonful  every  two  or  three  hours. 

To  secure  rest  and  ease  from  pain,  Sulphate  or  Acetate  of  Mor- 
phine may  be  given  in  quarter  grain  or  one-eighth  grain  doses,  every 
one,  two,  or  three  hours. 

The  patient  should  abstain  from  all  excess  in  eating  and  drink- 
ing, and  live  in  a frugal  and  temperate  style.  Daily  exercise 
should  be  taken,  and  late  hours  avoided. 

Hip  Disease,  ( Caxalgia .) 

This  consists  in  an  inflammation  of  the  membrane  and  capsular 
ligament  of  the  hip  joint,  frequently  ending  in  ulceration,  and  de- 
struction of  the  head  and  neck  of  the  thigh  bone.  It  is  similar  to 
what  is  known  as  white  swelling,  which  occurs  more  especially  at 
the  knee  joint. 

Symptoms.  — Fullness  in  the  groin  ; pain  which  is  aggravated 
when  the  limb  hangs  without  touching  the  ground  ; pain  is  felt 
more  in  the  knee  than  in  the  hip  itself,  and  shoots  down  along  the 
inside  of  the  leg,  and  to  the  feet ; the  thigh  inclines  forward,  and 
the  limb  has  the  appearance  of  being  shorter  than  the  other. 

The  treatment  of  this  disease  should  be  confided  to  the  care  of 
a competent  surgeon  or  physician. 

" TREATMENT. ALLOPATHIC. 

The  bowels  should  be  kept  open  with  Senna,  or  Bi-carbonate  of 
Potash,  and  rub  the  parts  affected,  with  the  following  preparation  ' 


MISCELLANEOUS  DISEASES. 


457 


Pulv.  Bloodroot,  • • - - $ to  1 ounce. 

Chloride  of  Zmc,  - - - * \ to  2 ounces. 

Water,  - -----  2 “ 

Add  enough  wheat  flour  to  make  a thick  paste. 

Or  this : 

Sal  Volatile, i drachm. 

Camphor  Water,  - - - 1 ounce. 

Mix. 

The  following  mixture  may  be  taken  internally  : 

Compound  Infusion  of  Gentian,  - - 4 ounces. 

Iodide  of  Potassium,  - - • - • -J-  ounce. 

Mix.  Dose,  one  teaspoonful  after  each  meal. 


ECLECTIC  AND  HERBAL. 


At  the  commencement  of  the  disease,  apply  to  the  part,  a hot 
fomentation  of  Hops,  Tansy,  Catnip,  Mayweed,  or  other  bitter 
herbs. 

The  following  liniment  may  be  used  after  the  pain  has  been  re- 
lieved by  the  herbs  : 


1 ounce. 

1 “ 

1 “ 

1 “ 

At  the  same  time 
strong  lye,  with  a 
place,  and  matter 


Alcohol, 1 pint. 

Gum  Camphor, 1 ounce. 

Dissolve  the  camphor  and  then  add, 

Oil  of  Hemlock,  - 
Oil  of  Sassafras,  - - 

Aqua  Ammonia,  ..... 

Laudanum,  ...... 

Mix.  Bathe  the  part  three  times  a day. 
apply  a poultice  of  wheat,  bran,  vinegar,  and 
spoonful  or  two  of  salt.  If  ulceration  takes 
forms,  apply  a poultice  of  Flaxseed  and  Slippery  Elm.  If  the 
matter  discharges,  wash  or  syringe  out  the  openings  with  Castile 
soap-suds,  and  follow  it  with  a solution  of  Charcoal  and  Sulphate 
of  Zinc,  or  vegetable  caustic. 

If  the  patient  becomes  feeble,  and  emaciated,  tonics  should  be 
used,  as  the  following  : 

Golden  Seal,  .....  ^ ounce. 

Gentian,  . | “ 

Chamomile  Flowers,  ....  i u 

Peruvian  Bark,  - - - - 1^  ounces. 

Port  Wine, 1 pint. 

Dose,  from  one  to  two  tablespoonfuls  two  or  three  times  a day. 


458 


OUR  FAMILY  PHYSICIAN. 


HOMEOPATHIC. 

Belladonna.  — When  the  pain  is  increased  on  the  slightest  move- 
ment: the  skin  is  red  and  shining  ; dryness  of  the  throat  ; burn- 
ing fever.  Mercury  may  be  given  after  it. 

Colocynth.  — Is  the  principal  remedy  in  this  disease  ; particularly 
when  there  is  a feeling  as  of  a tight  band  around  the  hips  and 
back,  and  the  pains  run  down  through  the  groin  into  the  leg  ; 
pains  worse  when  lying  on  the  back  , limping. 

Mercury.  — Sharp,  cutting,  burning  pains,  worse  at  night  or  dur- 
ing movement;  profuse  perspiration,  without  relief;  may  follow 
Belladonna.  Hepar  follows  well  after  Mercury. 

Lachesis.  — Emaciated,  with  tearing,  dragging  pain  in  the  joint ; 
abscesses  form  and  discharge  ; may  be  given  in  alternation  with 
Silicea. 

Silicea . — When  the  disease  assumes  the  chronic  form.  If 
emaciation  has  taken  place  it  may  be  given  in  alternation  with 
Arsenic  and  Iodine. 

Sulphur.  — In  cases  where  other  remedies  have  not  entirely 
relieved. 

Administration  of  Remedies.  — Of  the  remedy  selected,  give  a 
dose  (six  globules)  every  morning  and  night.  In  acute  stages  the 
dose  may  be  repeated  every  three  or  four  hours. 

Cramps. 

A cramp  is  a sudden  and  violent  contraction  of  a muscle  or  a 
get  of  muscles,  and  is  more  generally  experienced  in  the  limbs, 
although  it  sometimes  attacks  the  stomach,  breast,  etc. 

Causes.  — Sudden  exposure  to  cold  or  damp  night  air  ; drinking 
cold  water  when  very  hot  and  perspiring  ; indigestible  food  ; ex- 
cesses in  eating  and  drinking,  overstraining  the  muscles. 

GENERAL  TREATMENT. 

When  the  attack  occurs  in  the  legs,  tying  a cord  or  handker- 
chief tightly  around  the  leg  above  the  affected  part,  will  frequently 
relieve.  Drawing  the  top  of  the  foot  as  closely  as  possible  to  the 
shin,  and  holding  it  until  the  spasm  passes  will  sometimes  be 
beneficial. 

ECLECTIO  AND  HERBAL. 

When  the  cramp  is  in  the  stomach,  apply  over  the  region  of  the 
stomach,  a mixture  of  equal  parts  of  Laudanum,  Camphor,  Essence 


MISCELLANEOUS  DISEASES. 


459 


of  Peppermint,  and  Oil  of  Amber.  Red  Pepper  and  Whiskey 
may  be  used  when  the  cramp  is  in  the  leg  or  neck. 

As  an  internal  remedy  for  cramp  in  the  stomach,  use  the  com- 
pound tincture  of  Lobelia  and  Capsicum. 

HOMEOPATHIC. 

Colocynth.  — Will  generally  relieve  cramps  occurring  in  the 
night.  If  the  cramps  occur  more  in  the  daytime,  take  Rhus. 

Veratrum.  — May  be  given  every  night,  where  it  occurs  fre- 
quently. 

Sulphur , Lycopodium  and  Sepia . — May  be  used  to  prevent  the 
return  of  cramps. 

If  cramps  occur  in  the  stomach,  see  “ Stomach  Ache,”  Section 
I.,  Chapter  XII. 

Administration  of  Remedies . — Of  the  remedy  selected,  give  a 
dose  night  and  morning. 

ALLOPATHIC. 

When  the  cramp  occurs  in  the  stomach,  apply  warm  fomenta- 
tions of  Hops,  Tansy,  or  Mustard.  Morphine  given  in  doses  of 
one-fourth  of  a grain,  will  generally  relieve. 

Goitre,  — (Derbyshire  Neck.) 

This  is  an  enlargement  of  the  thyroid  gland,  which  is  situated 
on  the  fore  part  of  the  throat  or  neck.  It  is  very  slow  in  its  pro- 
gress, and  attended  with  no  pain.  It  occurs  generally  in  countries 
where  snow  water,  or  water  containing  large  quantities  of  lime,  or 
earthy  matter,  is  drank.  It  is  found  principally  in  Nottingham- 
shire and  Derbyshire,  England,  and  among  the  Alps. 

TREATMENT. HOMEOPATHIC 

Spongia.  — Is  the  principal  remedy  in  this  disease.  Dose,  six 
globules  every  evening.  Washing  externally  with  a solution  of 
the  tincture  of  Iodine,  diluted  in  Alcohol,  will  also  be  beneficial. 

Other  remedies  are  Calcarea,  Iodine,  Arsenic,  Sepia,  Silicea, 
Conium.  These  remedies  may  be  used  one  after  the  other  as  the 
patient  may  see  fit,  only  one  dose  a day,  however,  should  be  taken 

ALLOPATHIC. 

The  following  may  be  used  with  good  effect  : 

Compound  Infusion  of  Sarsaparilla,  • 1 pint. 

Iodide  of  Potassium, £ ounce. 


460 


OUR  FAMILY  PHYSICIAN. 


Mix.  Dose,  a teaspoonful  after  each  meal.  * 

The  following  ointment  may  be  used  at  the  same  time  : 


Iodide  of  Potassium, 

. 

1 drachm 

Lard,  - 

- 

- 2 ounces. 

Mix. 

ECLECTIC  AND  HEBBAL. 


The  following  is  recommended  : 

Iodine,  grain. 

Sulphate  of  Morphine,  - - • " i u 

Burnt  Sponge,  - - - - - 1 “ 

Extract  of  Liquorice,  enough  to  form  a pill  mass.  Give  at 
one  dose,  and  repeat  two  or  three  times  a day. 

The  following  ointment  may  be  used  at  the  same  time  : 

Iodide  of  Potassium,  - 1 drachm. 

Iodine,  - - • • - - - 10  grains. 

Lard, ounces. 

Mix.  Rub  on  the  enlargement  once  or  twice  a day,  and  wear 
flannel  around  the  neck. 

Sleeplessness. 

This  consists  in  an  impossibility  to  sleep,  without  any  apparent 
cause.  It  is  particularly  distressing  in  infants. 

TREATMENT.  HOMEOPATHIC. 

Coffea  and  Belladonna . — Either  alone,  or  in  alternation,  a dose 
(four  globules)  every  hour,  will  generally  be  sufficient  to  allay  the 
excitement  of  the  nervous  system. 

■Ignatia.  — When  caused  by  grief,  or  indigestion. 

llyosciamus.  — Especially  after  severe  illness. 

Opium.  — After  fright,  or  fear,  or  where  frightful  visions  appear 
before  the  eyes  when  closed. 

Pulsatilla.  — When  caused  by  having  indulged  too  freely  in  eat- 
ing. 

Aconite.  — When  caused  by  anxiety  and  agitation. 

Nux  Vomica.  — When  from  study,  or  from  drinking  tea  or  coffee. 

Palsy,  — Paralysis. 

Palsy  is  the  loss  of  the  power  of  voluntary  motion,  or  feeling, 
coming  on  sometimes  gradually,  but  oftener,  suddenly.  When 
it  is  confined  to  a single  limb,  or  certain  muscles  of  the  body,  it  is 
called  local  palsy.  When  it  affects  one-half  of  the  body,  from  the 


MISCELLANEOUS  DISEASES. 


461 


head  to  the  foot,  it  is  called  Hemiplegia.  When  it  affects  one- 
half  of  the  body,  from  the  hips  downward,  it  is  called  Paraplegia. 
When  there  is  a continual  tremor  attending,  it  is  called  Shaking 
palsy. 

Symptoms. — An  attack  is  generally  sudden;  sometimes,  how- 
ever, there  are  symptoms  preceding,  such  as  coldness  of  the  parts, 
with  more  or  less  numbness,  and  slight  twitches  in  the  muscles. 

Causes.  — Paralysis  may  be  produced  by  anything  affecting  the 
brain  ; as  apoplexy  ; the  pressure  of  tumors  on  certain  parts  of 
the  body  ; driving  in  of  eruptions  ; injuries  ; intemperance  ; injuries 
to  the  spine. 

TREATMENT.  ALLOPATHIC. 

A sudden  attack  requires  the  same  treatment  as  apoplexy. 
When  this  disease  becomes  chronic  ; frictions,  blisters,  stimulating 
baths,  and  stimulating  liniments,  should  be  applied.  Strychnine 
may  be  used  with  good  effect  as  follows : 

Strychnine,  ......  2 grains. 

Extract  of  Belladonna,  5 u 

Alcoholic  Extract  of  Black  Cohosh,  • - 2 scruples. 

Mix,  and  make  into  forty  pills.  Dose,  one  pill  four  times  a day. 

The  following  may  be  used  with  benefit : 

Tincture  of  Nux  Yomica, 

Tincture  of  Aconite, 

Volatile  Tincture  of  Guaiacum, 

Mix.  Dose,  thirty  drops  every  three  hours. 

As  a liniment  use  the  following : 

Oil  of  Turpentine,  - - - 

Spirits  of  Camphor,  - 
Water  of  Ammonia,  .... 

Olive  Oil,  ..... 

Mix. 

ECLECTIC  AND  HERBAL. 

For  a sudden  attack,  use  the  same  treatment  as  in  apoplexy. 
After  the  violent  symptoms  have  abated,  give  a dose  of  some  pur- 
gative, as  Senna  and  Salts  ; or  an  injection  of  Castor,  or  Sweet 
oil  and  warm  water.  The  bowels  should  be  kept  open  by  doses  of 
Podophyllin  and  Leptandrin,  with  injections.  The  patient  should 
i&ke  the  following  pill  at  the  same  tiine  : 


£ ounce. 

2 drachms. 
2 “ 


2 teaspoonfuls. 
2 “ 

2 “ 

2 “ 


462 


OUR  FAMILY  PHYSICIAN. 


Extract  of  Hyosciamus,  - - - - 40  grains. 

Extract  of  Aconite,  - - - - - 20  “ 

Macrotin,  - - - - - -20“ 

Make  into  twenty  pills.  Dose,  one  pill  night  and  morning. 

Or  this: 

Alcoholic  Extract  of  Nux  Vomica,  8 grains. 

Protoxide  of  Iron, 1 grain. 

Mix,  and  divide  into  twenty-four  pills.  Dose,  two  pills  twice  a 
day. 

Indian  Hemp  is  an  excellent  remedy,  and  may  be  used  in  the 
form  of  an  infusion.  An  infusion  of  Feverfew  drank  freely  is  also 
valuable.  The  limbs  and  parts  affected  should  be  rubbed  daily 
with  cold  water  and  salt. 


HOMEOPATHIC. 

Rhus  Tox.  and  Causticum  are  valuable  remedies. 

If  the  paralysis  is  caused  by  loss  of  fluids,  give  China,  Ferrum 
Sulphur. 

If  from  the  suppression  of  an  eruption,  or  customary  discharges 
give  Lachesis,  Causticum,  Sulphur. 

If  from  apoplexy,  give  Ipecac,  Lycopodium,  Lachesis. 

If  the  muscles  of  the  face  are  paralyzed,  Belladonna,  Causticum, 
Graphites. 

Electricity  and  Galvanism  are  extremely  useful  agents  in  the 
treatment  of  this  disease.  The  patient  should  bathe  frequently  in 
cold  water. 

Administration  of  Remedies. — Of  the  remedy  chosen,  take  a 
dose  (four  globules)  two  or  three  times  a day. 

Note . — This  disease  should  be  treated  by  a physician. 

Lame  Back. 

When  the  lameness  is  caused  by  any  strain  or  accident  or  by 
kidney  trouble,  Benson’s  Capcine  Plasters,  made  by  Scabury  & 
Johnson,  of  New  York,  may  be  relied  upon  to  give  immediate  and 
permanent  relief.  They  are  among  the  most  effective  and  conven- 
ient external  remedies  known  for  this  common  complaint.  All 
druggists  keep  them. 

Delirium  Tremens,  ( Mania  a Potu.) 

This  is  a disease  to  which  persons  of  intemperate  habits  arc 
liable. 

Symptoms. — It  usually  commences  with  nausea,  vomiting,  loss 
of  appetite,  which  is  soon  followed  by  incessant  talking;  trembling 


MISCELLANEOUS  DISEASES. 


463 


of  the  limbs  ; restlessness  ; raving ; rapid  pulse  ; as  the  disease 
progresses,  the  symptoms  become  worse  ; the  patient  talks  contin- 
ually ; rapidly  arranges  the  bedclothes  ; imagines  that  he  sees  per- 
sons, or  serpents,  witches,  bugs,  insects  ; he  laughs,  and  then  cries 
immediately  after  ; horrible  monsters  appear  before  him  ; his  eyes 
are  bloodshot,  and  have  a peculiar  glare  ; countenance  is  pale, 
haggard  and  distorted.  The  patient  may  die  from  apoplexy,  from 
debility,  or  may  gradually  sink. 

Causes.  — The  more  common  cause  is  suddenly  abstaining  from 
intoxicating  drinks  by  those  who  have  been  accustomed  to  using 
them.  It  also  happens  to  persons  while  in  the  height  of  dissipa- 
tion. It  usually  comes  on  four  or  five  days  after  the  excitement 
of  drink  has  passed  away. 

TREATMENT.  ECLECTIC  AND  HERBAL. 

Dr.  John  King  recommends  the  following  to  be  used  : 

Sulphate  of  Quinine,  8 grains. 

Sulphate  of  Morphine,  - - - 1 grain. 

Mix,  and  divide  into  four  powders.  Dose,  one  powder  every 
hour,  or  in  severe  cases,  every  half  hour,  for  the  first  two  or  three 
days.  After  continuing  these  powders  for  some  time,  the  intervals 
should  be  lengthened,  so  that  the  Morphine  will  not  have  too  much 
of  an  effect  upon  the  system,  Shortly  after  the  first  dose,  give 
the  patient  a tablespoonful  of  brandy  with  a little  water  and  sugar, 
which  should  be  repeated  as  often  as  necessary.  Opium  mav  be 
given  in  doses  of  three  grains,  and  repeated  every  hour  for  three 
or  four  hours.  Instead  of  Opium,  Laudanum  may  be  used,  in 
doses  of  sixty  drops,  or  a small  teaspoonful  in  a little  brandy,  and 
repeated  every  one,  two,  or  three  hours.  After  the  first  dose,  the 
dose  should  be  reduced  to  twenty  or  thirty  drops.  When  the  pa- 
tient has  recovered  from  an  attack,  an  emetic  should  be  given,  of 
equal  parts  of  Lobelia  and  Ipecac.  The  patient  should  be  allowed 
small  quantities  of  brandy,  or  other  spirits. 

HOMEOPATHIC. 

Opium.  — Is  the  principal  remedy.  Give  one  or  two  drops  of 
the  diluted  tincture,  every  hour  or  two,  for  at  least  twenty  hours. 

Other  remedies  which  may  be  used  after  this,  are  Belladonna, 
Nux  Vomica,  Hyosciamus,  Stramonium,  Digitalis.  Each  remedy 
should  be  given  for  at  least  twenty-four  hours,  and  repeated  every 
three  or  four  hour3,  six  globules  at  a dose. 


464 


OUR  FAMILY  PHYSICIAN. 


If  the  patient  sees  frightful  images  and  visions  in  his  sleep,  and 
cries,  give  Calcarea  Carbonica. 

If  nothing  will  induce  him  to  sleep,  give  Arsenic  and  Lobelia 
in  alternation,  a dose  every  one  or  two  hours. 

ALLOPATHIC. 

Give  one-third  of  a grain  of  Morphine.  If  this  does  not  have 
the  effect  to  quiet  the  patient,  give  thirty  drops  of  Laudanum, 
every  two  hours  until  sleep  is  produced.  Hop  tea  may  be  drank 
freely,  and  a grain  of  Opium,  given  every  three  or  four  hours. 
Ale  or  porter  should  be  allowed,  or  brandy  in  moderate  doses.  In 
some  cases  warm  baths  continued  for  a number  of  hours,  and  cold 
applications  to  the  head,  will  be  found  beneficial. 

Epilepsy. 

Epilepsy,  or  falling  sickness,  occurs  very  frequently  in  children. 

It  consists  of  sudden  unconsciousness,  with  convulsions.  It  is 
a chronic  disease,  and  frequently  ends  in  insanity. 

Symptoms . — An  attack  is  generally  sudden,  and  attended  with 
a loud  cry ; the  patient  falls  down  and  becomes  senseless  ; strug- 
gles violently  ; foams  at  the  mouth  ; face  becomes  livid  and  swol- 
len ; breathes  violently  ; the  head  is  jerked  from  one  side  to  the 
other  ; the  eyes  stare,  open  and  close  rapidly,  or  are  turned  up- 
wards or  downwards  ; the  teeth  gnash  together  : frequently  the 
attack  is  preceded  by  a peculiar  sensation,  as  of  cold  wind,  or  the 
crawling  of  an  insect,  which  passes  from  some  part  of  the  body  or 
limbs,  to  the  head,  and  when  it  reaches  the  head,  the  attack  oc- 
curs ; this  sensation  is  called  the  aura  epxleptica.  In  some  cases, 
however,  the  symptoms  are  much  lighter  ; the  patient  becomes 
unconscious  only  for  a moment. 

Causes . — It  sometimes  exists  as  a hereditary  disease.  It  :‘g 
generally  caused  by  worms ; indigestible  food ; teeth-cutting ; 
sexual  excesses  ; masturbation  ; irritation  of  the  womb  ; diseases 
of  the  brain,  or  spinal  marrow  ; stone  or  gravel  in  the  kidneys  ; 
fright ; passion  ; distress  of  mind. 

TREATMENT. HOMEOPATHIC. 

The  patient  should  be  placed  in  a position  that  he  can  not  hurt 


MISCELLANEOUS  DISEASES. 


465 


himself ; the  clothing  should  be  loosened  on  all  parts  of  the  body, 
and  a cork,  or  some  soft  substance  placed  between  the  teeth  to 
prevent  the  tongue  and  lips  from  being  wounded.  He  should  not 
be  restrained  during  the  paroxysm,  any  more  than  sufficient  to  pre- 
vent him  doing  himself  injury. 

The  first  remedy  that  should  be  given  is  Belladonna. 

If  the  face  is  dark  and  swollen,  breathing  hard,  and  snoring,  give 
Opium,  Stramonium,  Ignatia,  Hyosciamus.  Coffea  may  also  be 
administered  during  an  attack,  especially  when  the  attack  is 
caused  by  fright,  mortification,  or  other  mental  emotions. 

When  it  occurs  in  children,  during  teeth-cutting,  Chamomilla, 
Coffea  and  Hyosciamus,  are  the  remedies. 

When  the  eyes  are  bloodshot,  foaming  at  the  mouth,  distortion 
of  the  limbs  and  face,  Cicuta,  and  Stramonium,  are  the  best 
remedies. 

When  the  attack  is  caused  by  great  excitement,  worms,  or  ex- 
posure to  great  heat,  and  attended  with  screams,  violent  convulsive 
movement  of  the  limbs,  gnashing  of  the  teeth,  frothing  at  the 
mouth,  give  Hyosciamus,  Ignatia,  Cocculus. 

When  the  attack  is  caused  by  the  abuse  of  stimulants,  venereal 
excitement,  disordered  stomach,  give  Nux  Vomica. 

When  it  occurs  in  drunkards,  give  Opium,  Nux  Vomica. 

When  the  attack  is  caused  by  the  driving  in  of  an  eruption,  give 
Ipecac,  Belladonna  or  Cuprum. 

Administration  of  Remedies.  — Of  the  remedy  selected,  give  a 
dose  (six  globules)  once  or  twice  a day. 

ALLOPATHIC. 

The  same  treatment  during  the  paroxysm  should  be  used  as  in 
the  Homeopathic. 

The  bowels  should  be  kept  regular,  and  mustard  poultices  ap- 
plied along  the  spine  once  in  a while.  Valerianate  of  Zinc  is 
recommended  to  be  given  ; beginning  with  one  grain  twice  a day, 
and  gradually  increasing  to  three  or  four  grains.  Bromide  of  Po- 
tassium is  recommended,  given  in  doses  of  from  ten  to  twenty 
grains,  two  or  three  times  a day,  and  continued  for  a great  length 
of  time. 

The  following  is  a valuable  remedy  : 

Citrate  of  Iron  and  Strychnine,  - - 1 drachm. 

Syrup  of  Orange  Peel,  - - - 2 ounces , 

Soft  water,  - - - - - pint. 

Mix.  Give  a teaspoonful  three  times  day.  This  will  have  a 
tendency  to  build  up  the  nervous  system. 

It  is  said  that  a black  silk  handkerchief  thrown  over  the  face  of 
a person  having  a fit,  will  immediately  bring  him  out. 

30 


466 


OUR  FAMILY  PHYSICIAN. 


ECLECTIC  AND  HERBAL. 


During  an  attack,  the  same  means  as  given  in  the  Homeopathic 
treatment  should  be  employed. 

The  following  pills  are  highly  recommended : 

Iodine,  -------  24  grains. 

Extract  of  Belladonna,  - - • 6 “ 

Sulphate  of  Morphine,  ....  4^-  11 

Simple  syrup,  enough  to  make  a pill  mass.  Bub  the  medicines 
together  forming  a fine  powder,  and  then  add  the  syrup.  Divide 
into  forty-eight  pills.  Dose,  one  pill  an  hour  after  each  meal. 

At  the  same  time  the  following  pills  may  also  be  used  : 

Prussiate  of  Iron,  -----  4 scruples. 

Sulphate  of  Quinine,  - - - - 4 “ 

Extract  of  Black  Cohosh,  4 “ 


Mix  the  powders  thoroughly,  then  add  the  extract,  and  form  a 
pill  mass  ; divide  into  forty-eight  pills.  Give  one  an  hour  pre- 
vious to  each  meal. 

A liniment  composed  as  follows  may  be  used  with  advantage  : 

Oil  of  Origanum,  - - 

Oil  of  Peppermint,  - - - 

Oil  of  Amber, > equal  parts. 

Camphor,  ...... 

Tincture  of  Stramonium  Seed,  - - - 

Mix,  and  apply  along  the  spinal  column  at  night. 

The  following  infusion  may  be  used  in  some  cases  with  benefit : 

Infusion  of  Scullcap,  1 ounce. 

Infusion  of  Peony  Root,  * ■ * 1 “ 

Infusion  of  Valerian,  - - - • 1 u 

Infusion  of  Peach  leaves,  - - • 1 u 

Infusion  of  Sassafras,  - - - - 3 ounces. 

A teaspoonful  of  this  mixture  in  half  a pint  of  boiling  water, 
sweetened,  should  be  drank  frequently. 


St.  Vitus’  Dance,  ( Chorea .) 


This  disease  occurs  generally  in  childhood. 

Symptoms . — The  complaint  affects  the  muscles  of  the  limbs, 
face,  or  other  parts  of  the  body  and  they  sometimes  twitch  so  vio- 
lently, as  to  interfere  with  walking,  speaking,  or  eating. 

Carnes.  — Among  the  exciting  causes  are,  worms ; powerful 
mental  emotions  ; fright ; falls  ; blows  ; excessive  venereal  indulg- 


MISCELLANEOUS  DISEASES. 


467 


ence  ; masturbation,  and  other  causes  which  produce  debility  of 
the  nervous  system. 

GENERAL  TREATMENT. 

All  causes  of  excitement  should  be  removed.  The  patient 
should  take  sufficient  exercise  out  of  doors  ; have  a good  diet,  and 
bathe  frequently  in  cold  water. 

ALLOPATHIC. 

The  bowels  should  be  regulated  with  some  gentle  physic.  If 
the  nervous  system  is  much  reduced,  give  the  following  : 

Oxide  of  Zinc, 2 drachms. 

Extract  of  Oicuta,  - • - - - 2 scruples. 

Mix,  and  make  into  forty-eight  pills.  Dose,  one  pill  three  times 
a day. 

The  Calabar  bean  has  been  recently  recommended  as  a remedy. 
Dose,  half  a drachm  of  the  tincture,  or  from  one  to  six  grains  of 
the  powder,  three  times  a day. 

ECLECTIC  AND  HERBAL 

An  infusion  of  Scullcap  will  be  found  very  beneficial.  The  pa- 
tient should  drink  from  half  a pint,  to  a pint  daily.  The  infusion 
of  Feverfew  is  also  valuable. 

As  a restorative  of  the  nervous  system,  use  the  following : 


Comfrey  Root, . 

- • • • 1 ounce 

Spikenard  Root, 

. l « 

Columba  Root, 

i “ 

Gentian  Root,  - 

. £ « 

Chamomile  Flowers, 

i “ 

Bruise  the  roots,  and  cover  the  whole  with  a pint  of  boiling 
water.  When  cold  put  in  a bottle,  and  add  a quart  of  Madeira 
wine.  Dose,  half  a wineglassful  three  or  four  times  a day. 

Fainting,  (Syncope.) 

Fainting  is  preceded  by  a distress  about  the  heart ; swimming  of 
the  head  ; confusion  of  ideas  ; cold  hands  and  feet ; dimness  of 
sight ; the  pulse  diminishes  ; the  face  becomes  deadly  pale,  and  the 
person  falls  down,  and  becomes  more  or  less  unconscious. 

Causes.  — Whatever  causes  debility,  particularly  of  the  nervous 
system ; sudden  surprises  and  emotions ; excessive  pain  ; great 
heat ; certain  odors,  etc. 


468 


OUR  FAMILY  PHYSICIAN. 


TREATMENT 

The  patient  should  be  placed  on  his  back,  and  fresh  air  freely 
admitted  into  the  room  ; sprinkle  the  face  with  cold  water,  or 
spirits  of  Ammonia,  rub  the  arms  and  legs;  spirits  of  Camphor, 
Ether,  or  vinegar  may  be  held  to  the  nose.  As  soon  as  the  patient 
can  swallow,  give  a teaspoonful  of  the  compound  spirits  of  Laven- 
der, with  ten  or  twelve  drops  of  Ammonia  in  it. 

Persons  subject  to  fainting,  should  avoid  all  crowded  assemblies 
where  the  air  is  bad,  and  should  not  wear  cravats,  or  tight  dresses 
or  other  tight  clothing. 

HOMEOPATHIC. 

For  the  bad  consequence  which  an  attack  may  have  on  the  ner- 
vous system,  give  the  following  remedies  : 

When  caused  by  fright;  Aconite,  Opium,  Yeratrum,  Staphysa- 
gria* 

By  great  joy  ; CofTea,  Opium,  Aconite. 

By  anger  ; Pulsatilla,  Nux  Yomica,  Chamomilla. 

By  excessive  pain  ; Yeratrum,  Aconite,  Chamomilla. 

By  slight  pain  ; Ilepar  Sulphur. 

By  grief,  mortification,  etc.  ; Ignatia,  Colocynth,  Phosphoric 
Acid,  Mercury,  Staphysagria. 

By  fear;  Ignatia,  Pulsatilla,  Yeratrum,  Opium. 

By  blood  letting,  etc.,  China,  Carbo  Yeg.,  Yeratrum.  A little 
wine  or  brandy  in  water  may  also  be  given. 

Administration  of  Remedies . — Dissolve  twelve  globules  of  the 
selected  remedy,  in  half  a teaspoonful  of  water,  and  give  a tea- 
spoonful every  five  or  ten  minutes. 

If  not  relieved  in  half  an  hour,  prepare  another  remedy,  and 
give  in  the  same  manner. 

Apparent  Death  from  Hunger. 

In  case  of  starvation,  the  person  should  not  be  fed  too  freely  at 
first,  from  fear  of  a fatal  result.  Injections  of  small  portions  of 
milk,  beef  tea,  or  mutton  broth,  should  be  used.  As  soon  as  he 
can  swallow,  give  warm  milk,  drop  by  drop  through  the  mouth  ; 
the  quantity  may  be  increased  until  the  patient  can  take  a tea- 
spoonful, then  a few  drops  of  wine  or  brandy  may  be  added.  Bice 
water,  barley  water,  and  toast  water,  may  also  be  used.  Nour- 
ishment should  be  given  every  ten  or  fifteen  minutes  ; as  the  patient 
improves,  beef  tea  or  broth  may  be  given  in  small  quantities. 


MISCELLANEOUS  DISEASES. 


469 


Apparent  Death  from  Drowning. 

The  following  is  Marshall  Hall’s  “ ready  method 

1st.  Treat  the  patient  instantly  in  the  open  air,  freely  exposing 
the  face,  neck  and  chest,  to  the  breeze,  except  in  severe  weather. 

2nd.  In  order  to  clear  the  throat,  place  the  patient  gently  on 
the  face  with  one  wrist  under  the  forehead,  so  that  all  fluid  and 
the  tongue  itself  may  fall  forward,  and  leave  the  entrance  into  the 
windpipe  free. 

3d.  To  excite  respiration  or  breathing,  turn  the  patient  slightly 
on  his  side,  and  apply  some  irritating  or  stimulating  agent  to  the 
nostrils,  as  dilute  Ammonia,  Camphor,  etc. 

4th.  Make  the  face  warm  by  brisk  rubbing  ; and  then  dash  cold 
water  upon  it. 

5th.  If  not  successful,  lose  no  time,  but  imitate  breathing  ; 
Place  the  patient  on  his  face,  and  turn  the  body  gently,  but  com- 
pletely on  the  side,  and  a little  beyond,  and  then  again  on  the  face, 
and  so  on,  alternately.  Repeat  these  movements  deliberately  and 
perseveringly,  fifteen  times  only  in  a minute.  When  the  patient 
lies  on  his  face,  the  chest  is  compressed  by  the  weight  of  the  body 
and  expiration  takes  place,  when  he  is  turned  on  the  side,  this 
pressure  is  removed,  and  inspiration  occurs. 

6th.  When  the  patient  lies  on  the  face,  make  uniform  and 
efficient  pressure  along  the  spine,  removing  the  pressure  immedi- 
ately before  turning  on  the  side.  The  pressure  augments  the  ex- 
piration, the  turning  commences  inspiration. 

7th.  Rub  the  limbs  briskly  with  firm  pressure,  and  with  energy 
back  and  forth,  to  aid  the  return  of  the  blood  in  the  veins  to  the  heart. 

8th.  Substitute  for  the  patient’s  wet  clothing,  if  possible,  such 
other  covering  as  can  be  instantly  procured,  each  by-stander  sup- 
plying a coat,  or  cloak,  etc.  In  the  meanwhile,  from  time  to  time, 
to  excite  inspiration,  let  the  surface  of  the  body  be  slapped  briskly 
with  the  hand. 

9th.  Rub  the  body  briskly  until  it  is  dry  and  warm,  and  then 
dash  cold  water  upon  it,  and  repeat  the  rubbing. 


470 


OUR  FAMILY  PHYSICIAN. 


Apparent  Death  from  Freezing. 

The  patient  should  be  carefully  undressed  and  covered  all  over 
with  snow,  leaving  only  the  mouth  and  nostrils  free  ; the  snow 
should  be  renewed  as  it  melts.  If  no  snow  can  be  had,  put  him  in 
a bath  of  water  as  cold  as  ice,  and  let  him  remain  ten  or  fifteen 
minutes,  then  cover  him  with  bags  containing  pounded  ice.  As 
soon  as  the  stiffness  of  the  muscles  is  relaxed,  dry  the  body 
carefully,  and  place  it  in  a cold  bed  in  a cold  room,  and 
rub  all  over  with  the  warm  hands  under  the  bedclothes.  This 
must  be  continued  for  hours.  As  soon  as  signs  of  life  show  them- 
selves, inject  into  the  bowels  a little  camphor  and  water  ; also  put 
a drop  of  camphor  on  the  tongue  from  time  to  time.  As  more 
signs  of  life  appear,  inject  warm  black  coffee  and  milk,  and  give 
him  a little  by  the  mouth. 

The  same  means  recommended  in  “Apparent  Death  from  Drown- 
ing ” may  be  used. 

Apparent  Death  from  Hanging. 

The  person  should  be  instantly  cut  down,  and  the  clothing  re- 
moved from  every  part  of  the  body,  and  the  same  means  as  men- 
tioned under  “Apparent  Death  from  Drowning”  be  used. 

Apparent  Death  from  Lightning. 

Remove  the  body  into  the  fresh  air  and  dash  cold  water  over  it. 
If  possible,  cover  the  body  all  over  except  the  face  with  fresh 
earth.  If  the  patient  recovers,  remove  him  to  a light  sunny  room, 
where  he  should  be  kept  quiet  for  some  time. 

Apparent  Death  from  Noxious  Vapors. 

Remove  the  body  into  the  cool  fresh  air,  and  dash  cold  water 
'over  the  face,  head  and  over  the  whole  body  ; strong  vinegar  may 
be  held  under  the  nostrils.  The  means  recommended  under  “ Ap 
parent  Death  from  Drowning,”  should  also  be  used. 


Miscellaneous  diseases. 


471 


Apparent  Death  erom  Falls  or  Blows. 

Put  five  drops  of  tincture  of  Arnica  in  a tumblerful  of  water, 
and  give  a teaspoonful  every  two  or  three  minutes  until  several 
doses  have  bfeen  taken.  The  parts  which  have  been  injured  by  the 
fall  or  blow,  should  be  bathed  with  a solution  of  the  tincture  of 
Arnica  and  cold  water.  Injections  of  the  same  mixture  may  also 
be  used. 

Apparent  Death  from  Violent  Mental  Emotions 
See  Fainting. 


472 


OUB  FAMILY  PHYSICIAN. 


CHAPTER  II. 

The  Sick  Room. 

Nursing  the  Sick. 

THE  sick  room  should  be  large,  lofty,  and  if  possible,  fronting 
the  north ; the  windows  should  be  capable  of  being  opened  by 
drawing  down  from  the  top.  It  is  well  to  have  a fire  place  in  the 
room,  as  it  induces  free  circulation.  All  unnecessary  furniture 
should  be  removed,  and  when  possible  two  chambers  should  join  with 
a bed  in  each,  so  that  the  patient  can  be  moved  from  one  bed  to 
the  other  every  morning  and  evening.  The  bedclothes  of  the  bed 
from  which  the  patient  is  removed,  should  be  immediately  turned 
down  and  exposed  to  the  air.  The  mattress  should  also  be  freely 
aired.  It  is  important  to  regulate  the  temperature,  which  should 
never  be  above  sixty-five  degrees  Fahrenheit,  or  below  fifty-five 
degrees  Fahrenheit.  The  patient  should  never  be  allowed  to  be- 
come chilly.  Order  and  cleanliness  should  be  strictly  observed  in 
the  sick  room.  There  are  many  little  things  which  at  other 
times  would  pass  unnoticed,  but  will  annoy  a sick  person  extremely. 
The  passages  of  the  patient  should  be  removed  immediately  after 
evacuation,  and  the  bed  linen,  and  bed-clothing  should  be  changed 
every  two  or  three  days.  The  clean  clothes  should  be  well  aired, 
and  thoroughly  dried,  before  using.  In  diseases  of  long  standing, 
and  in  contagious  diseases,  the  whole  bed  and  bedding  should  be 
changed  once  or  twice  during  the  sickness. 

Cooking  in  the  departments  of  the  sick,  is  very  improper,  and 
no  food  of  any  kind  whatever  should  be  kept  in  a sick  room  or  in 
its  vicinity.  Unless  disagreeable  to  the  patient,  light  should  be 
freely  admitted.  The  bed  of  the  patient  should  be  a mattress  or 
a tick  stuffed  with  straw  ; but  on  no  account  should  a feather  bed 
be  used. 


THE  SICK  ROOM. 


473 


Fumigations  and  disinfectants,  should  be  forbidden  in  a sick 
room.  As  a general  thing,  whatever  has  a tendency  to  poison  the 
atmosphere  such  as  discharges  of  the  patient,  should  be  immedi- 
ately taken  out,  and  there  will  be  no  necessity  for  fumigations. 

It  is  very  important  that  quiet  should  be  maintained.  A sick 
person  will  stand  the  noise  in  the  street,  and  noise  about  the  house ; 
but  even  whispering  in  his  own  room  will  disturb  him,  perhaps 
seriously.  The  nurse  should  not  wear  creaking  shoes,  nor  the 
children  be  allowed  to  come  into  the  room  or  near  it.  All  gossip- 
ing or  any  conversation  which  would  excite  the  apprehension,  or 
expectation  of  the  patient  is  very  injurious.  Never  allow  a 
patient  to  be  aroused  from  sleep. 

The  nurse  should  always  be  calm,  cool,  and  collected,  and  be 
able  to  subdue  all  unpleasant  feelings  ; manifesting  only  a spirit  of 
kindness  towards  the  patient.  When  dangerous  symptoms  arise, 
self-control  is  of  the  highest  importance.  It  is  necessary  that  the 
nurse  should  have  strength  sufficient  to  enable  her  to  lift  the  pa 
tient  in  and  out  of  bed,  and  to  move  him  around,  as  necessary. 
She  should  also  be  healthy,  and  not  liable  to  sudden  attacks  of 
sickness.  It  is  important  also  that  she  should  be  kind,  sympathiz- 
ing, and  good-natured. 

Much  can  be  done  by  a nurse  with  these  qualifications  in  hasten- 
ing the  recovery  of  the  patient.  Above  all,  she  should  follow 
strictly,  the  direction  of  the  physician,  and  not  take  it  upon  her- 
self to  prescribe  other  remedies,  or  give  other  directions,  unless  in 
her  judgement  it  is  absolutely  necessary.  Changes  in  treatment 
are  sometimes  called  for  during  the  absence  of  the  physician  ; but 
the  change  should  be  made  with  care.  She  should  not  conceal 
from  the  physician  any  changes  which  have  been  made  in  the  man- 
agement of  the  patient  during  his  absence. 

Preparation  of  Food,  for  Sickness,  and  Convalescence. 

It  is  extremely  difficult  to  know  exactly  what  diet  to  give  to 
sick  persons  ; very  often  a slight  error  in  diet  will  bring  on  a fatal 
result.  The  patient  frequently  desires  that  which  would  be  ex- 


474 


OTJR  FAMILY  PHYSICIAN. 


tremely  injurious.  The  patient  should  never  be  urged  to  eat,  he  is 
better  able  to  tell  what  he  wishes  than  any  one  else.  In  regard  to 
the  kinds  of  food  which  may  be  allowed,  the  most  concentrated  and 
easiest  digested  of  all  prepared  foods  is  “Beef  Peptonoids.”  This 
preparation  is  composed  of  beef,  less  the  muscular  tissue,  gluten  from 
the  wheat,  and  the  solid  constituents  of  milk.  It  is,  consequently,  a 
preparation  of  great  value  in  fevers,  pneumonia,  phthisis,  every  form 
of  dyspepsia,  diabetes,  cholera  infantum,  marasmus,  diarrhoea,  intes- 
tinal diseases,  excessive  use  of  alcoholic  stimulants,  sea  sickness, 
vomiting  in  pregnancy,  per  rectum  in  all  cases  where  the  stomach 
cannot  digest  food,  and  in  debility  resulting  from  any  cause.  Dr. 
A.  Stutzer,  director  of  the  Chemical  Test  Laboratory  and  the  Food 
Testing  Office  for  Rhenish  Prussia,  says  of  this  food  : “ If  a medical 
man  desires  to  give  an  invalid  or  convalescent  a preparation  by  the 
use  of  wThich  the  formation  of  flesh  and  blood  is  to.be  promoted,  and 
vigor  infused  into  a patient,  ‘Beef  Peptonoids/  for  this  purpose 
stands  first  and  foremost  among  all  the  preparations  I have  examined.” 
Eggs  broken  in  hot  water  and  slightly  cooked,  may  also  be  allowed. 
Boiled  rice  is  easy  of  digestion,  and  beef  tea,  mutton  broth,  and 
chicken  are  useful  in  convalescence.  Fruits  are  sometimes  very 
beneficial  and  at  other  times  very  hurtful.  In  fever,  the  juice  of 
ripe  oranges  will  be  extremely  grateful;  the  pulpy  part  should  al- 
ways be  rejected.  Grapes  may  also  be  allowed,  being  careful  not  to 
swallow  the  seeds  or  skin.  Lemon  juice,  lemonade,  strawberries  that 
have  their  juice  bruised  out  and  strained,  may  also  be  allowed.  Hot 
water  poured  upon  bruised  tamarinds,  peaches,  etc.,  and  allowed  to 
stand  until  cold,  will  be  beneficial.  Tea,  coffee,  cocoa  and  chocolate, 
should  not  be  allowed  to  either  sick  or  convalescent.  Toast  water 
may  used  as  a drink.  Cold  water  may  be  taken  at  all  times  with 
benefit,  if  it  causes  no  distressing  symptoms.  Rice  water,  barley 
water,  and  apple  water,  are  all  good  drinks.  Boiled  fish  is  gener- 
ally easy  of  digestion,  as  well  as  oyster  broth.  As  a general  rule, 
all  shell  fish  should  be  forbidden.  Vegetables,  such  as  boiled  po- 


ME  SICK  ROOM. 


475 


tatoes,  boiled  beets,  and  boiled  onions,  may  be  eaten  without  harm  ; 
they  should,  however,  be  boiled  in  two  waters  until  quite  soft. 

Useful  Recipes. 

To  Make  Gruel.  — The  following  is  an  excellent  recipe  : 

Pour  a quart  of  hot  water  into  a clean  earthen  or  tin  vessel  over 
a brisk  fire  ; when  it  boils,  add  two  large  tablespoonfuls  of  corn  or 
oat  meal  ; mix  it  smooth  in  just  water  enough  to  thicken  it  ; put 
a small  lump  of  butter  into  the  water,  and  when  melted,  add  the 
meal  and  stir  for  about  half  an  hour  ; then  add  a teacupful  of 
sweet  milk,  and  when  it  boils  again,  throw  in  the  upper  crust  of 
hard  baked  bread  cut  into  small  pieces  ; let  it  boil  some  time,  and 
add  a little  black  pepper,  a little  salt,  a pinch  of  grated  nutmeg,  a 
little  more  butter  and  a teaspoonful  of  French  brandy.  The  but- 
ter, spices,  and  brandy,  should  be  omitted  when  the  ca3e  is  a seri- 
ous one. 

Beef  Tea.  — Take  a pound  of  lean  beef,  cut  it  fine,  put  it  in 
a bottle  corked  tightly,  and  put  the  bottle  into  a kettle  of  warm 
water ; the  water  should  be  allowed  to  boil  for  a considerable  time  ; 
the  bottle  should  then  be  removed  and  the  contents  poured  out. 
The  tea  may  be  salted  a little,  and  a teaspoonful  given  each  time. 

Another  way  of  preparing  it  is  as  follows  : 

Take  a thick  steak,  broil  slightly  on  a gridiron  until  the  juiceg 
nave  started,  and  then  squeeze  thoroughly  with  a lemon  squeezer. 
The  juice  thus  extracted  will  be  highly  nutritious. 

Toast  Water.  — Toast  slightly  a piece  of  bread,  and  add  to  it 
boiling  water  ; if  preferred,  sweeten.  It  may  be  flavored  with 
lemon  or  orange  peel. 

Flax  Seed  Tea.  — Take  an  ounce  of  flax  seed  and  a little 
pounded  liquorice  root,  and  pour  on  a pint  of  boiling  water ; 
place  the  vessel  near  a fire  for  four  hours  ; strain  through  a linen 
or  cotton  cloth. 

Barley  Coffee. — -Roast  barley  until  well  brown,  and  boil  a 
tablespoonful  of  it  in  a pint  of  water  for  five  minutes  ; strain,  and 


476 


OUR  FAMILY  PHYSICIAN. 


add  a little  sugar,  if  desired.  A nourishing  drink  toward  the  close 
of  fever  and  during  convalescence. 

Oat  Meal  Coffee.  — Mix  common  oat  meal  and  water  to  form 
cake ; bake  and  brown  it,  powder  it,  and  boil  in  water  five 
minutes.  Good  for  checking  obstinate  vomiting,  especially  in 
cholera  morbus. 

Egg  Brandy.  — Take  the  yolks  of  two  eggs,  beat  well,  and  add 
half  an  ounce  of  white  sugar,  and  a little  cinnamon  water,  or  two 
drops  of  oil  of  cinnamon.  Mix  well,  and  add  a wineglass  of 
French  brandy. 

Milk  Punch.  — A teaspoonful  of  sugar  and  enough  water  to 
dissolve  it ; pour  in  two  gills  or  teacupfuls  of  milk,  and  then  in  a 
small  stream  stirring  constantly,  a tablespoonful  or  two  of  brandy 
or  rum. 

Egg  Nog.  — A teaspoonful  of  sugar  well  beaten  with  an  egg,  add 
a gill  or  a teacupful  of  milk,  and  one  or  two  tablespoonfuls  of 
good  French  brandy.  Flavor  with  grated  nutmeg. 

Sage  Tea. — Dry  leaves  of  sage,  half  a ounce  ; boiling  water, 
one  quart  ; infuse  for  half  an  hour,  strain  and  add  sugar  and  lemon 
juice  as  required  by  the  patient.  Balm  and  other  teas  are  made 
in  the  same  manner. 

Rice  Water.  — Rice,  two  ounces;  water,  two  quarts  ; boil  an 
hour  or  so,  and  add  sugar  and  nutmeg. 

A Refreshing  Drink  in  Fevers. — Put  a little  sage,  two 
sprigs  of  balm,  and  a little  sorrel  into  a stone  jug ; peel  a small 
lemon,  slice  it,  and  put  in,  together  with  a small  piece  of  the  rind  ; 
then  pour  in  three  pints  of  boiling  water,  sweeten,  and  cover  it 
close. 

Another.  — Take  half  an  ounce  of  prunes,  or  dried  plums,  an 
ounce  of  cranberries,  half  an  ounce  of  stoned  raisins,  and  a quart 
of  water ; boil  down  to  one  pint,  strain,  and  flavor  with  lemon 
peel,  or  essence  of  lemon.  Keep  it  closely  covered. 

Another . — Take  one  ounce  each  of  currants,  raisins,  and  tama- 
rinds or  prunes,  and  boil  in  one  quart  of  water  down  to  one  pint. 
Flavor  with  lemon  peel,  or  essence  of  lemon. 


THE  SICK  ROOM. 


477 


Currant  Jelly,  currants,  cranberries,  and  prunes  make  refresh- 
ing drinks,  when  added  to  water,  and  sweetened  to  suit  the  pa- 
tient’s taste. 

Water  Gruel.  — Corn,  or  oatmeal  two  tablespoonfuls  ; water, 
one  quart ; boil  for  ten  or  fifteen  minutes,  and  add  sugar,  or  salt, 
if  desired  by  the  patient. 

Rice  Gruel.  — Ground  rice,  one  heaping  tablespoonful;  ground 
cinnamon,  half  a teaspoonful ; water  one  quart ; boil  slowly  for 
fifteen  or  twenty  minutes,  add  the  cinnamon  near  the  conclusion 
of  the  boiling,  strain  and  sweeten. 

Cooling  Drink  for  Feyers.  — Take  vinegar,  one  teacupful  , 
water,  six  teacupfuls  ; and  honey,  two  teacupfuls.  Mix  together. 
If  honey  does  not  agree  with  the  person,  use  molasses  or  syrup. 

Quince  Wine.  — Take  six  quinces,  slice  them  and  pour  on 
half  a gallon  of  boiling  water  ; let  them  stand  over  night,  and  in 
the  morning  boil  fifteen  minutes  and  add  one  pound  of  sugar.  Let 
the  liquid  ferment,  and  add  one  pint  of  whisky  or  brandy  ; strain 
and  keep  in  closely  corked  bottles  or  jugs. 

Gum  Arabic  Mixture.  — Dissolve  four  ounces  of  gum  Arabic,  in 
three  teacupfuls  of  boiling  water;  sweeten  and  flavor  as  desired. 
Useful  in  cases  of  inflammation  of  the  stomach  and  bowels. 

Panada.  — White  bread,  one  ounce  ; water,  one  pint ; ground 
cinnamon,  one  teaspoonful  ; boil  until  well  mixed,  and  add  a little 
sugar  and  nutmeg.  Wine  may  be  added  if  desirable. 

Sago  Gruel.  — Sago,  two  tablespoonfuls  ; water,  one  pint  ; boil 
until  it  thickens,  frequently  stirring.  Wine,  sugar,  and  nutmeg 
may  be  used,  if  desirable. 

Mucilage  of  Elm  Bark.  — Place  a small  quantity  of  elm  bark 
in  cold  water.  May  be  drank  after  an  hour  or  two.  If  agreeable 
it  may  be  flavored  with  lemon  juice,  or  essence  of  lemon,  or  other 
essence.  It  may  be  drank  freely  in  cases  of  inflammation  of  the 
bladder,  stomach,  etc. 

Tapioca  Jelly.  — Tapioca,  two  tablespoonfuls  ; water,  one  pint ; 
boil  slowly  for  an  hour,  until  it  becomes  of  a jelly  like  appearance  ; 


478 


OUR  FAMILY  PHYSICIAN. 


add  sugar,  wine,  and  nutmeg,  to  suit  the  taste  of  the  patient. 
Lemon  juice  may  also  be  added. 

Irish  Moss  Jelly.  — Irish  moss,  half  an  ounce;  fresh  milk,  one 
and  a half  pints ; boil  down  to  a pint,  strain,  and  add  a sufficient 
amount  of  sugar  and  lemon  juice,  or  peach  water,  to  give  it  an 
agreeable  flavor. 

Arrow  Root  Gruel.  — Add  a tablespoonful  of  arrow  root,  to 
half  a pint  of  boiling  water  ; mix  well,  add  half  a pint  of  milk, 
and  boil  together  for  two  or  three  minutes  ; sweeten  to  the  taste. 
Wine  may  be  added  if  suited  to  the  case. 

Milk  Porridge. — Add  two  tablespoonfuls  of  corn  meal,  to  a 
pint  each  of  milk  and  water  ; mix  the  meal  with  a small  quantity 
of  cold  water,,  so  as  to  form  a thin  paste  ; pour  the  milk  and  water 
together  and  as  soon  as  they  commence  boiling,  add  the  paste,  and 
stir.  It  may  be  flavored  with  cinnamon,  nutmeg,  sugar,  or  wine. 

Isinglass  Jelly.  — Isinglass,  one  roll,  boiled  in  one  pint  of 

% 

water  until  dissolved,  then  strain,  and  add  one  pint  of  sweet  milk. 
Put  it  again  over  the  fire,  and  let  it  just  boil  up.  Sweeten  with 
loaf  sugar,  and  grate  nutmeg  upon  it.  If  properly  made  it  re- 
sembles custard. 

Apple  Water.  — Cut  two  large  apples  into  slices  and  pour 
on  them  a quart  of  boiling  water;  after  standing  two  or  three 
hours  sweeten  slightly. 

Boiled  Flour.  — Tie  one  pound  of  flour  in  a linen  bag;  dip 
this  a number  of  times  into  cold  water,  and  then  sprinkle  flour 
upon  the  outside  to  form  a crust,  which  will  prevent  the  water 
from  entering  inside  while  boiling  ; place  the  bag  thus  prepared, 
in  some  water,  and  boil  until  it  becomes  a hard,  dry  mass.  A 
little  of  this  may  be  grated,  and  prepared  in  the  same  manner  as 
arrow  root  gruel. 

Vegetable  Soup. — Take  one  turnip,  one  potato,  one  onion, 
and  siice  and  boil  them  in  one  quart  of  water  for  an  hour,  add  salt 
as  agreeable,  and  pour  the  whole  upon  a piece  of  dry  toast. 

Mutton  Tea.  — Take  one  pound  of  mutton,  remove  the  fat, 
and  cut  the  meat  in  small  pieces  ; pour  half  a pint  of  boiling  water 


THE  SICK  ROOM. 


479 


oyer  it,  let  it  stand  near  a fire  for  half  an  hour,  and  then  boil 
for  one  hour,  strain  through  a sieve  or  cloth  ; add  salt  to  suit  taste. 
A very  nourishing  diet. 

Mutton  Broth.  — Take  one  pound  of  good  mutton,  remove 
the  fat,  and  put  in  a vessel  with  three  pints  of  boiling  water  ; 
simmer  for  two  hours  ; then  cut  up  into  slices  three  carrots,  three 
turnips,  and  three  onions  ; boil  them  in  a quart  of  water  for  half 
an  hour,  strain,  and  add  the  vegetables  to  the  mutton  liquor,  season 
wkh  salt,  and  simmer  slowly  for  four  hours. 

Chicken  Broth.  — Take  half  a chicken,  remove  all  the  fat,  cut 
the  meat  up  into  small  pieces,  and  break  the  bones  ; put  into  a 
vessel  with  three  pints  of  boiling  water  ; boil  for  one  hour,  sea- 
son with  salt,  and  strain.  Very  nourishing. 

Rennet  Whey.  — New  milk,  one  quart;  rennet  a large  spoon- 
ful ; heat  the  milk  and  then  add  the  rennet  ; boil  until  the  curd 
separates,  which  is  to  be  taken  off. 

Vinegar  Whey.  — Milk,  one  pint;  vinegar,  one  tablespoonful  ; 
boil  for  a few  minutes  and  separate  the  curd. 

Alum  Whey.  — To  a pint  of  milk,  add  a teaspoonful  of  pow- 
dered alum,  boil  and  strain  ; useful  in  diarrhoea,  dysentery,  and 
inflammation  of  the  stomach.  The  curd  forms  an  excellent  poul- 
tice for  inflammation  of  the  eye. 

Mustard  Whey.  — Mustard  seed,  one  tablespoonful ; milk,  one 
pint ; boil  together  for  a few  minutes  and  separate  the  curd. 
A useful  drink  in  dropsy. 

Calves1  Feet  Jelly.  — Take  two  calves1  feet,  and  add  to  them 
one  gallon  of  water  ; boil  down  to  one  quart ; strain,  and  when 
cold,  skim  off  the  fat ; add  to  this  the  whites  of  six  or  eight 
eggs  well  beaten,  a pint  of  wine,  a half  pound  of  loaf  sugar  and 
the  juice  of  four  lemons.  Mix  well.  Boil  them  a few  minutes, 
stirring  constantly,  and  strain  through  flannel. 

Orange  Whey. — Milk,  one  pint ; the  juice  of  one  orange 
with  a portion  of  the  peel ; boil  the  milk,  then  put  the  orange 
to  it,  and  let  it  stand  until  coagulation  takes  place,  and  strain. 

Sweet  Whey.  — Skimmed  milk,  two  quarts,  and  a piece  of 


480 


OUR  FAMILY  PHYSICIAN. 


calves1  rennet.  Mix,  and  put  in  a warm  place  until  it  coagulates, 
and  then  strain. 

Wine  Whey. — Milk,  two- thirds  of  a pint  ; water,  one- third  of 
a pint ; maderia  or  other  wine,  one  gill ; sugar,  one  dessert-spoon- 
ful ; put  the  milk  and  water  together  in  a deep  pan  on  the  fire, 
and  at  the  moment  when  it  begins  to  boil,  pour  in  the  wine  and 
the  sugar,  stirring  constantly  ; boil  ten  or  fifteen  minutes  ; when 
boiled,  strain  through  a sieve.  This  may  be  drank  either  cold  or 
warm,  a wineglassful  at  a time.  An  excellent  thing  in  all  forms  of 
fever. 

Sippets.  — On  an  extremely  hot  plate  put  two  or  three  slices  of 
bread,  and  pour  over  them  some  of  the  juice  of  Boiled  beef,  mut- 
ton or  veal,  and  sprinkle  over  them  a little  salt. 

Chicken  Panada.  — Take  the  white  meat  of  a chicken,  having 
removed  the  skin  and  fat,  and  boil  in  a small  quantity  of  water 
until  the  flesh  is  soft ; pound  the  flesh  in  a mortar  until  pulpy, 
and  then  add  an  equal  weight  of  stale,  wheat  bread,  gradually 
adding  some  of  the  water  in  which  the  chicken  was  boiled,  until 
the  whole  forms  a thin  fluid  paste,  boil  this  paste  for  ten  minutes, 
frequently  stirring  ; and  season  to  suit  the  taste. 

French  Milk  Porridge.  — Stir  together  some  oatmeal  and 
water,  and  let  the  mixture  stand  until  clear,  and  pour  off  the 
water  ; then  put  some  more  water  to  the  meal,  stir  it  well,  and  let 
it  stand  until  the  next  day  ; strain  through  a fine  sieve,  and  boil 
the  water,  adding  the  milk  while  doing  so.  The  proporticn  of 
water  must  be  small. 


HYDROPATHIC  TREATMENT. 


481 


CHAPTER  III. 

Hydropathic  Treatment. 

WATER  when  used  in  connection  with  other  treatment  ig 
extremely  valuable,  but  the  application  of  it  requires  a 
knowledge  of  its  effects,  by  the  person  employing  it,  and  care  to 
avoid  serious  consequences. 

The  Towel,  or  Sponge  Bath. 

Persons  who  are  reduced,  physically,  may  bathe  part  of  the  body 
first ; as  the  head,  face,  arms,  and  chest,  drying  and  rubbing  with 
a dry  towel,  or  the  dry  hand,  before  bathing  the  rest  of  the  body. 
This  form  of  sponging  the  patient’s  body  in  fevers,  or  other  acute 
diseases,  is  frequently  better  than  exposing  the  whole  body.  The 
temperature  of  the  water  must  be  governed  by  the  feelings  of  the 
patient.  It  may  be  commenced  with  tepid  water,  and  gradually 
reducing  it  to  cool,  or  cold  water,  as  the  patient  is  able  to  bear  i-t. 
In  acute  diseases  when  the  object  is  to  reduce  fever,  water  at  a 
temperature  of  seventy-five,  or  eighty-five  degrees,  is  better  than 
colder  water.  The  best  time  for  taking  a sponge  bath,  is  the 
morning  immediately  after  rising  from  bed  ; sometimes  a second 
bath  may  be  taken  before  going  to  bed.  Exercise  in  the  open  air 
should  follow  the  bath.  The  baths  may  be  continued  for  a quarter 
of  an  hour  or  longer,  if  it  is  desired  to  act  as  a stimulant,  or  to 
cool  off  the  body.  When  a shorter  time  is  used,  it  has  a strength- 
ening and  exhilarating  effect,  and  also  equalizes  the  circulation  of 
the  blood. 

Shower  Baths. 

These  baths  are  taken  in  a box,  or  a machine  constructed  for  the 
purpose  ; the  water  is  brought  into  contact  with  different  parts  of 
the  body,  at  the  same  time,  in  little  streams.  Weak  or  nervous 

31 


482 


OUR  FAMILY  PHYSICIAN. 


people  should  begin  with  tepid  water,  gradually  making  it  colder. 

This  bath  may  be  taken  by  a person  standing  in  an  empty  bath- 
ing tub,  or  other  vessel,  and  an  assistant  standing  on  a chair,  and 
pouring  water  over  him,  from  a common  watering  pot.  These 
baths  stimulate  the  nervous  system  and  the  skin  ; they  are  recom- 
mended particularly  in  diseases  which  require  repeated  sweatings 
for  their  cure,  or  for  patients,  who  in  consequence  of  disease  of 
the  ?hest,  can  not  bear  the  full  baths,  after  sweating. 

Wash-tub  Bath. 

This  is  a convenient  and  valuable  resort  in  fevers.  Fill  a tub 
one  third,  or  one  half  full  of  yrater,  either  cold,  or  warm,  in  which 
place  the  patient,  having  his  feet  in  a smaller  tub  or  vessel.  If 
the  patient  be  weak  he  should  have  an  attendant.  The  body  and 
limbs  should  be  thoroughly  washed,  occasionally  pouring  water  of 
the  same  temperature  over  the  shoulders  and  body.  As  a general 
rule,  tepid  water  is  the  best,  being  less  liable  to  produce  a return 
©f  the  fever.  The  bath  may  be  continued  for  from  two  to  five,  ten, 
or  fifteen  minutes,  according  to  the  height  of  the  fever,  and  the 
strength  of  the  patient.  It  should  not  be  prolonged  so  far  as  to  pro- 
duce chilliness,  or  pallor  of  the  skin,  or  blueness  of  the  nails.  Dry 
with  towels,  or  a dry  rubbing  sheet.  If  the  fever  returns,  the  bath 
should  be  again  resorted  to,  until  it  is  reduced.  It  is  very  useful 
in  eruptive  fevers,  in  bilious  remittents,  typhoid,  and  the  hot  stage 
of  intermittent. 

Rubbing  or  Dripping  Bath. 

This  is  a valuable  remedy,  and  may  be  used  in  various  diseases, 
and  states  of  the  system  : 

Take  a coarse  linen  or  cotton  sheet,  and  wring  it  well  if  you 
wish  it  for  a rubbing  sheet,  and  wring  it  lightly  for  a dripping 
sheet.  Throw  it  quickly  about  the  patient’s  body  from  behind, 
and  let  him  and  the  attendant  both  rub  briskly  over  the  sheet  for 
two,  three,  four  or  more  minutes,  until  the  surface  of  the  body  be- 
comes thoroughly  warmed  ; follow  it  with  a dry  sheet  and  towel 
&sd  hand  rubbing.  AVhen  used  as  cool  as  it  can  be  borne,  it  actj 


HYDROPATHIC  TREATMENT. 


483 


as  a tonic  and  stimulant.  It  removes  feverish  thirst,  takes  off 
languor,  gives  new  vigor  to  mind  and  limb,  and  produces  a pleas- 
ant glow  over  the  body.  If  the  patient  is  feeble,  the  sheet  should 
be  of  a mild  temperature,  from  eighty  to  ninety  degrees,  gradually 
reducing  it.  When  used  for  stimulating  and  invigorating  the 
nerves  or  the  brain,  or  for  reducing  pain,  it  should  be  cool  or  cold, 
and  the  sheet  be  re-wet,  and  re-applied  several  times  in  quick 
succession. 

For  feverish  pulse,  and  heat  in  chronic  diseases,  it  may  be  used 
at  bedtime,  and  should  be  of  a mild  temperature.  It  has  a ten- 
dency to  allay  nervous  excitability  and  induce  sleep.  It  is  valua- 
ble in  fevers  of  all  kinds  ; also  in  diarrhoea,  dysentery,  colic,  etc. 
The  patient  before  taking  the  bath,  should  wash  his  hands  and  face 
in  cold  water. 

Pail  Douche. 

This  is  more  stimulating  than  the  preceding,  and  excites  greater 
nervous  action.  The  patient  should  stand  in  an  empty  bathing 
tub,  and  the  attendant  having  prepared  two  pails  of  water,  one 
warmer  than  the  other,  should  dash  the  warmer  pailful  half  upon 
his  chest,  and  half  upon  his  back,  following  with  the  second  pail- 
ful in  the  same  manner  ; then  dry  and  use  friction.  It  is  not  ad- 
visable to  use  this  in  great  nervousness  ; nor  should  it  be  used 
when  there  is  serious  disease  of  the  heart  or  lungs.  It  is  generally 
used  when  the  temperament  is  sluggish,  or  the  disease  is  of  a gen- 
eral nature. 

The  Wet  Sheet  Packing. 

This  is  a valuable  process  to  reduce  the  heat  of  the  body  1* 
fevers,  and  to  remove  unhealthy  secretions.  The  sheet  for  pack- 
ing should  be  of  cotton  or  coarse  linen,  sufficiently  long  to  reach 
from  the  patient’s  head  to  his  feet,  and  about  two  yards  in  width. 
In  feeble,  chronic  cases,  it  is  better  not  to  have  it  come  quite  to  the 
ankles.  The  bed  should  be  stripped  of  its  covering,  one  or  two 
pillows  being  left  for  the  patient’s  head.  One  or  two  comfortables 
should  be  spread  conveniently  upon  the  bed  and  two  woolen  bl%s 


484 


OUR  FAMILY  PHYSICIAN. 


kets  upon  these.  If  the  patient  complains  of  chilly  sensations 
about  and  down  the  spine,  and  over  the  body,  place  a folded  towel, 
or  a strip  of  flannel  of  four  fingers,  or  three  or  four  inches  wide, 
next  to  the  spine,  as  the  patient  lies  upon  the  sheet  ; this  prevents 
the  shock  to  the  spinal  nervous  system.  If  the  patient  is  subject 
to  coldness  of  the  feet,  he  should  have  a jug  or  can  of  hot  water, 
or  hot  bricks  placed  to  the  feet,  having  one  or  two  thicknesses  of 
the  blanket  between,  to  protect  the  feet  from  too  great  heat.  The 
patient  lying  flat  on  his  back,  should  raise  his  arms  while  the  as- 
sistant wraps  one  side  of  the  sheet  over  the  body  and  lower  limbs 
and  tucks  it  closely  to  the  body.  The  arms  are  then  dropped  to 
the  side,  and  the  other  side  of  the  sheet  quickly  wrapped  and 
tucked  ; the  blankets  and  comfortables  are  brought  over  and  tucked 
in  the  same  manner,  care  being  taken  not  to  draw  them  too  tightly 
over  the  chest.  It  should,  however,  be  snugly  tucked  around 
under  the  shoulders,  so  that  the  heat  may  be  retained. 

If  the  patient  is  subject  to  headache,  or  determination  of  blood 
to  the  head,  a towel,  folded,  and  wet  in  cold  water,  should  be  laid 
upon  the  forehead,  and  renewed  as  often  as  it  becomes  hot. 

The  person  should  remain  in  this  packing  from  thirty  minutes* 
to  an  hour  and  a half.  If  he  gets  comfortably  warm  in  fifteen  o* 
twenty  minutes,  thirty  or  forty  minutes  will  be  a sufficient  length 
of  time  to  remain  in  the  pack,  but  if  he  warms  more  slowly, 'an 
hour  or  an  hour  and  a quarter  is  sufficient.  If  sweating  is  desired, 
the  patient  should  remain  until  perspiration  appears  on  the  fore- 
head, generally  from  an  hour,  to  two  or  three  hours.  If  the  pa- 
tient remains  long  enough  to  produce  perspiration,  just  before  it 
appears,  he  will  have  a chilly  sensation,  which  will  be  succeeded 
by  copious  perspiration. 

For  very  delicate  persons,  the  sheet  should  be  first  wrung  out  of 
tepid  or  warm  water.  On  coming  out  of  the  pack,  the  plunge, 
rubbing,  wet  sheet,  or  towel  bath  may  be  used. 

In  acute  diseases,  when  there  is  high  fever,  this  form  of  bath 
will  b$  found  extremely  useful.  In  this  ca,se,  the  sheet  should  h§ 


HYDROPATHIC  TREATMENT. 


485 


wrung  out  of  fresh  water  every  half  hour,  or  oftener  if  the  fever 
is  high,  until  it  is  reduced. 

It  may  be  used  in  the  fever  stages  of  remittent  and  intermittent 
fevers,  and  in  some  chronic  difficulties.  When  the  patient  is  very 
feeble,  the  half  pack,  or  towel  pack  should  be  used.  In  the  com- 
mencement of  the  treatment,  one  towel  should  be  wet  and  laid 
across  the  chest  and  bowels,  and  the  rest  of  the  body  enveloped  in 
dry  blankets.  In  a few  days  a second  towel  may  be  placed  along 
the  spine,  and  this  gradually  increased  until  he  will  be  able  to  bear 
a full  pack.  Headache,  muscular  debility,  and  giddiness,  indicate 
that  the  pack  is  continued  too  long. 

The  Sweating  Pack. 

The  bed  should  be  prepared  as  for  the  wet  sheet  pack,  omitting 
the  sheet,  and  having  two  blankets  next  to  the  patient.  He 
should  then  lie  down,  and  the  assistant  bring  over  the  blankets  and 
comfortables,  tucking  him  closely ; other  blankets,  or  a small 
feather  bed  should  then  be  placed  over  all,  and  closely  tucked,  es- 
pecially around  the  shoulders  and  feet,  so  that  the  hot  air  can  not 
escape.  A jug  of  hot  water  may  be  placed  to  the  feet  with  advan- 
tage. If  the  head  gets  hot,  a wet  towel  may  be  applied  to  the 
forehead,  and  the  patient  be  given  plenty  of  water  to  drink.  The 
windows  of  the  room  should  be  opened,  so  as  to  keep  a good  sup- 
ply of  fresh  air.  It  will  generally  require  from  two  to  three  hours 
to  produce  perspiration.  This  pack  should  be  followed  by  the 
rubbing  sheet,  or  half  bath,  or  pail  douche.  It  is  used  in  skin 
diseases,  torpidity  of  the  liver,  indigestion,  and  also  in  chronic 
rheumatism  and  gout. 

The  Vapor  Bath. 

The  patient  should  be  undressed  and  seated  in  a chair,  with  a 
ouple  of  blankets  pinned  around  his  neck.  A small  tub  or  tin 
pan  filled  with  hot  water,  should  be  placed  under  the  chair,  and 
red  hot  bricks  or  stone,  should  occasionally  be  put  into  the  vessel, 
so  as  to  keep  the  vapor  constantly  rising.  The  time  required  to 
produce  perspiration,  will  vary  from  ten  to  twenty  minutes.  If 


OUR  FAMILY  PHYSICIAN. 


486 

the  head  is  affected  unpleasantly,  producing  faintings,  sickness,  or 
fullness  of  blood  in  the  head,  it  should  be  stopped.  The  patient 
may  be  allowed  to  drink  cold  water,  or  bathe  the  face  with  cold 
water,  or  a wet  towel  may  be  placed  upon  the  head  at  the  com- 
mencement. After  using  this  bath,  a full  bath  should  be  taken  to 
cleanse  the  skin. 

It  is  useful  in  diseases  of  the  skin,  colds  and  fever  ; sometimes 
in  suspended  lochia.  It  should  not  be  administered  to  those  who 
have  weakness  of  the  lungs. 

The  Hip,  or  Sitz-Bath. 

A common  wash  tub  will  answer  for  this  bath.  The  tub  should 
be  large  enough  to  admit  of  the  motion  of  the  arms  in  rubbing, 
and  deep  enough  to  allow  the  legs  to  bend  over  each  other  without 
producing  pressure,  or  checking  the  circulation.  The  patient  may 
either  undress  completely,  or  remove  the  clothes  from  the  parts  of 
the  body  to  be  immersed  in  the  water.  When  the  bath  is  used  as  a 
tonic,  the  water  should  be  cold  and  the  patient  remain  in  from  five  to 
ten  or  fifteen  minutes.  Persons  who  are  feeble,  should  use  warm  wa- 
ter, and  remain  in  from  one  to  five  minutes  ; gradually  reducing  the 
temperature  until  they  can  take  a cold  bath.  The  wTater  should 
cover  the  hips,  and  lower  part  of  the  abdomen.  In  the  cold  stage 
of  intermittent  fever,  the  warm  sitz-batli  will  very  much  mitigate  the 
severity  of  the  chill  ; and  when  followed  by  the  cold  rubbing  wet 
sheet,  wThen  the  hot  stage  comes  on,  will  often  break  up  the  attack. 

In  acute  inflammation  of  the  liver,  stomach,  bowels,  spleen,  and 
kidneys,  the  sitz-baths  should  be  used  very  frequently.  At  the 
same  time,  use  injections  of  cold  or  warm  water. 

The  tonic  sitz-bath,  requires  frequent  repetition  ; from  three  to 
six  times  a day.  It  may  be  used  in  cases  of  excessive  menstrua- 
tion, leucorrhoea  and  prolapsus  uteri.  The  sitz-bath  is  used  more 
frequently  as  a derivative  in  .obstruction  of  the  liver  and  kidneys, 
dyspepsia,  determination  of  blood  to  the  head,  constipation  of  the 
bowels,  etc.  When  used  for  this  purpose,  the  temperature  should 
be  from  sixty  to  eighty-five  degrees ; the  patient  should  remain 


hydropathic  treatment. 


487 


about  fifteen  minutes  in  the  bath.  When  used  for  piles,  or  chronic 
affections  of  the  genital  organs,  it  should  last  from  twenty  to  forty- 
five  minutes.  The  sitting  bath  should  not  be  taken  immediately 
before  eating,  nor  within  two  hours  and  a half  after  a meal.  Mod- 
erate exercise  should  be  taken  after  each  bath,  if  the  patient  is 
sufficiently  strong  ; if  not,  active  friction  should  be  used,  to  secure 
reaction. 

The  Shallow  Bath. 

A shallow  bath  tub  may  be  used,  or  a common  wash  tub.  The 
water  should  be  from  four  to  six  inches  deep.  During  the  bath, 
the  abdomen  and  lower  part  of  the  body  should  be  well  rubbed  by 
the  patient,  or  by  an  attendant,  and  the  head  should  also  be 
sprinkled,  and  the  back  and  chest  rubbed.  When  there  is  no  chil- 
liness, a pail  of  cold  water  should  be  poured  on  the  chest  and 
shoulders.  This  bath  may  be  employed  from  one  to  fifteen  min- 
utes, by  those  who  are  very  feeble  and  sensitive  to  cold,  and  from 
fifteen  to  thirty  minutes,  by  others.  It  may  be  followed  by  the 
dry  rubbing  sheet,  or  by  hand  rubbing.  It  will  be  found  useful  in 
the  treatment  of  skin  diseases,  sick  headache,  rush  of  blood  to  the 
head,  apoplexy,  paralysis,  sunstroke,  etc. 

The  Plunge  Bath. 

The  plunge  bath  should  be  taken  in  a large  reservoir  or  trough, 
filled  with  water.  It  is  generally  taken  after  the  sweating  process, 
and  sometimes  after  the  wet  sheet,  by  those  who  are  able  to  bear 
the  exercise.  The  patient  should  wear  the  sheet  and  blanket  to 
the  bath,  and  should  first  wet  the  head  and  chest,  before  plunging 
into  the  water. 

It  may  be  used  with  advantage  in  all  chronic  diseases,  which  are 
not  attended  with  determination  of  blood  to  the  head,  or  difficulty 
of  breathing,  or  disturbance  of  the  circulation.  The  temperature 
of  the  bath  should  be  from  fifty-five  to  sixty-five  degrees,  and  the 
person  should  remain  in  from  a few  seconds  to  two  or  three  minutes 
in  chronic  diseases.  In  high  fever  the  patient  may  remain  in  from 
ten  to  fifteen  minutes. 


488 


OUR  FAMILY  PHYSICIAN. 


The  Foot  Bath. 

This  is  an  excellent  means,  especially  in  disease  of  the  head  and 
cheat,  and  may  be  used  also  to  prevent  cold  feet. 

If  the  object  is  to  determine  blood  from  the  head  and  chest,  the 
vessel  should  not  be  too  large,  and  the  bath  be  continued  from 
twenty  minutes  to  an  hour.  If  the  congestion  increases  during 
the  bath,  cold  applications  should  be  made  to  the  parts  affected. 
The  feet  should  be  rubbed  during,  and  after  the  bath. 

The  warm  foot  bath  is  valuable  to  relieve  attacks  of  headache, 
and  to  quiet  the  nervous  system. 

The  Head  Bath. 

The  common  method  of  bathing  the  head  is  by  wetting  cloths 
in  water  and  applying,  or  pouring  a stream  of  water  over  the  head. 
In  chronic  affections,  however,  a derivative  or  sedative  effect  is 
desired  ; for  this  purpose  the  patient  should  be  on  a rug  or  mat- 
tress, the  back  of  the  head  resting  in  a shallow  basin  or  pail  hold- 
ing from  two  to  three  inches  of  water.  It  may  be  changed  every 
fifteen  or  twenty  minutes. 

When  the  water  is  poured  on  the  head,  the  patient  should  lie 
face  downward,  and  a tub  placed  under  the  head  to  catch  the 
water  ; the  stream  should  be  poured  steadily  for  several  minutes 
until  the  head  is  well  cooled. 

The  Eye  and  Ear  Bath. 

Forcing  a small  stream  of  water  through  a syringe  or  hose,  is 
useful  in  some  diseases  of  the  eye  and  ear. 

The  Nose  Bath. 

In  catarrh,  colds  in  the  head,  nose  bleed,  etc.,  this  is  beneficial. 
Water  should  be  snuffed  through  the  nostril,  and  drawn  back  if 
possible,  so  as  to  be  ejected  by  the  mouth.  This  should  be  repeat- 
ed several  times  a day.  It  is  used  as  a tonic. 

Leg  and  Arm  Bath. 

The  leg  bath  is  useful  in  cases  of  ulcerations,  eruptions,  gout, 
rheumatism,  sprains,  etc.  The  temperature  should  be  mild  ; vary- 


HYDROPATHIC  TREATMENT. 


489 


ing  from  sixty  to  eighty  degrees.  It  may  be  continued  from  fifteen 
minutes  to  half  an  hour.  The  water  should  not  only  cover  the 
affected  part,  but  also  the  adjacent  parts.  The  arm  bath  may  be 
used  with  advantage  in  felons,  lessening  the  inflammation. 

Wet  Bandages. 

When  intended  to  be  cooling,  the  cloths  must  be  of  a size  suited 
to  the  part  inflamed  ; they  should  then  be  folded  six  or  eight 
times,  dipped  in  very  cold  water,  and  squeezed,  and  renewed  every 
five  or  ten  minutes,  according  to  the  degree  of  inflammation.  If 
the  water  can  not  be  obtained  cold,  add  ice  to  it.  The  bandages 
must  be  continued  without  intermission  day  and  night  until  danger 
is  averted.  Neglect  of  changing  the  cloths  will  produce  bad 
results. 

When  the  object  is  to  raise  the  temperature  of  the  part,  the 
bandages  may  consist  of  linen  folded  two  or  three  times  and  dipped 
into  cold  water  ; they  should  then  be  well  wrung  out,  and  not 
changed  until  dry.  The  action  may  be  aided  by  covering  the 
bandages  with  a dry  towel. 

These  applications  are  useful  in  derangements  of  the  digestive 
organs,  liver,  affections  of  the  bowels,  etc. 

The  application  of  hot  bandages  to  the  body  when  there  is  con- 
gestion of  the  lungs,  congestion  of  the  brain,  congestion  of  the 
womb,  etc.,  is  of  great  value.  In  bilious  and  painter’s  colic,  con- 
gestion of  the  liver  or  spleen,  and  in  congestive  fevers,  hot  band- 
ages, applied  as  hot  as  can  be  borne,  and  continued  until  the  parts 
are  relieved,  will  be  found  of  great  value. 

Injections. 

Warm  water  injected  into  the  bowels  will  be  found  very  valua- 
ble in  constipation,  diarrhoea,  and  other  complaints  of  the  bowels, 

General  Rules. 

All  full  bathing  should  be  taken  when  the  body  is  warm.  In 
chronic  cases  the  bath  should  be  followed  by  walking,  or  other 
active  exercise,  if  the  patient’s  strength  will  admit. 


490 


OUR  FAMILY  PHYSICIAN. 


No  meal  should  be  taken  within  an  hour  after  bathing,  nor 
should  a bath  be  taken  within  two  hours  after  eating. 

The  best  times  for  bathing  are  on  rising  in  the  morning,  at  ten 
A.  M.,  at  three  P.  M.,  and  at  bedtime. 

All  patients  who  are  able,  should  use  moderate  exercise  previ- 
ous to  bathing. 

Every  full  bath  should  be  taken  quickly,  the  patient,  if  able, 
rubbing  himself  vigorously,  then  dressing  and  exercising.  In 
acute  diseases,  however,  exercise  should  not  be  taken. 

No  strong  shock  should  ever  be  produced  upon  the  head. 

Each  patient  should  use  the  water  at  a temperature  best  suited 
to  his  situation. 

"Wetting  the  head  and  the  chest  before  taking  a full  bath  is  a 
useful  precaution,  and  especially  for  persons  liable  to  head  af- 
fections. 

The  fact  of  a person  being  in  a full  perspiration  is  no  objection 
to  taking  a bath  provided  the  body,  is  not  in  a state  of  exhaustion, 
aor  the  breathing  disturbed. 


PHARMACY. 


491 


CHAPTER IV. 

Pharmacy. 

TIIE  preparation  of  medicines,  is  the  business  of  the  apothecary 
or  druggist,  and  is  called  pharmacy.  In  the  pages  following 
I have  given  only  a few  of  the  most  simple  preparations.  They 
are  arranged  in  alphabetical  order 

Cerates. 

The  word  cerate  indicates  that  the  substance  to  which  it  is  ap- 
plied, contains  wax  as  an  ingredient.  Cerates  are  made  from  wax 
or  spermaceti,  combined  with  tallow,  lard,  or  oil.  They  should  be 
prepared  with  a gentle  heat,  and  stirred  until  eool. 

Calamine  Cerate , ( Turner's  Cerate .)  — Take  of  lard,  one  pound; 
and  yellow  wax,  three  ounces  ; melt  together,  and  while  cooling 
add  three  ounces  of  prepared  calamine.  Useful  for  burns,  scalds, 
chafings  of  the  skin,  simple  ulcers,  etc. 

Camphor  Ice . — Spermaceti,  two  drachms  ; almond  oil,  two  fluid 
ounces  ; melt  these  together,  and  add  powdered  Camphor,  two 
drachms.  Useful  for  chapped  hands  and  lips,  chafings,  etc. 

Resin  Cerate. — Resin,  five  ounces;  yellow  wax,  two  ounces; 
lard,  eight  ounces.  Melt  together  and  stir  till  cool.  This  is  known 
as  basilicon  ointment , and  is  useful  for  burns,  scalds,  chilblains,  etc. 

Simple  Cerate.  — Lard,  four  ounces;  white  wax,  two  ounces; 
melt  together,  and  stir  until  cool.  Useful  for  dressing  wounds,  blis- 
ters, etc.,  simply  to  exclude  the  air,  and  preserve  the  moisture. 

Decoctions. 

These  are  solutions,  containing  the  active  principle  of  medicines, 
obtained  by  boiling.  A decoction  should  be  prepared  in  a covered 
vessel,  and  boiled  for  only  a short  time.  The  usual  proportion  cf 
vegetable  substances  used  in  preparing  a decoction,  is  one  ounce  to 
a pint  of  water,  and  the  dose  is  from  one  to  four  ounces. 

Essences. 

These  are  prepared  by  dissolving  one  ounce  of  the  essential  oil 


492 


OUR  FAMILY  PHYSICIAN. 


of  the  plant,  in  one  pint  of  alcohol.  In  this  manner  are  prepared, 
the  essences  of  Anise,  Carraway,  Peppermint,  etc.  The  dose  of 
the  essence  is  from  ten  drops  to  a teaspoonful,  taken  in  sweetened 
water. 

Fomentations. 

A fomentation  is  a local  hot  bath,  applied  for  the  purpose  of  re- 
ducing pain  and  inflammation,  by  relaxing  the  part,  and  relieving 
the  tension.  They  are  usually  composed  of  bitter  or  anodyne 
herbs  steeped  in  hot  vinegar  or  water,  or  both,  the  herbs  placed 
in  a bag,  and  applied  to  the  affected  part  as  hot  as  can  be  borne. 
They  should  not  be  applied  so  moist  as  to  wet  the  clothes  of  the 
patient,  and  should  be  frequently  renewed.  They  are  generally 
made  of  hops,  tansy,  wormwood,  equal  parts  of  each,  or  equal  parts 
of  hops,  lobelia,  and  stramonium  leaves. 

Infusions. 

These  are  solutions  of  vegetable  medicines,  obtained  by  pouring 
cold  or  boiling  water  on  the  substance,  and  allowing  it  to  stand  un- 
til cool.  The  proportions  are,  half  an  ounce  or  an  ounce  of  the 
herb,  root,  or  bark,  to  a pint  of  water,  and  the  dose  is  from  a ta- 
blespoonful to  a teacupful. 

Liniments. 

These  are  liquid  preparations  of  oils,  tinctures  and  other  sub- 
stances, designed  for  external  application  to  inflamed,  swollen,  and 
painful  parts.  They  are  applied  with  the  hand,  or  a piece  of  flan- 
nel or  cotton. 

Aconite  Liniment.  — Tincture  of  Aconite  root,  two  ounces ; 
Opium  liniment,  two  ounces.  Useful  in  neuralgia,  rheumatism, 
and  other  painful  affections. 

Camphor  Liniment.  — Camphor,  six  drachms  ; dissolve  it  in  one 
fluid  ounce  of  chloroform,  and  add  one  fluid  ounce  of  olive  oil. 
Useful  for  neuralgia,  sprains,  rheumatism,  etc. 

Compound  Camphor  Liniment.  — Camphor,  two  and  a half  ounces ; 
oil  of  lavender,  one  fluid  drachm  ; alcohol,  seventeen  fluid  ounces  ; 
strong  solution  of  ammonia,  three  fluid  ounces.  Dissolve  the  cam 
phor  and  the  oil  in  the  alcohol,  then  add  the  ammonia,  and  mix 
Useful  in  all  local  pains. 


PHARMACY. 


493 


Opodeldoc.  — White  soap,  three  ounces  ; camphor,  one  ounce  ; 
oil  of  rosemary,  and  oil  of  origanum,  each  one  fluid  drachm  ; alco- 
hol, one  pint.  Dissolve  the  soap  in  the  alcohol  by  means  of  a gen- 
tle heat  until  dissolved,  then  add  the  oils  and  camphor,  and  when 
they  are  dissolved,  pour  the  mixture  into  broad-mouthed  bottles. 
Useful  for  sprains,  rheumatism,  bruises,  etc.,  also  called  camphora 
ted  soap  liniment. 


Medicated  Wine. 

Compound  Wine  of  Comfrey , ( Restorative  Wine  Bitters .)  — Take 
of  Comfrey,  Solomon’s  Seal,  and  Spikenard,  each,  bruised,  one 
ounce  ; Chamomile  flowers,  Colombo,  Cardamon  seeds,  and  Gen 
tian,  each,  bruised,  half  an  ounce.  Cover  these  with  boiling 
water,  and  let  them  stand  in  a covered  vessel,  twenty-four  hours  ; 
then  add  sherry  wine,  two  quarts.  Let  the  mixture  stand  four- 
teen days,  express  and  strain.  A valuable  tonic  in  leucorrhoea, 
and  other  female  complaints.  Dose,  from  a tablespoonful  to  a 
wineglassful,  three  or  four  times  a day. 

Mixtures. 

Camphor  Mixture.  — Camphor  water,  two  fluid  ounces  ; Nitrous 
acid,  twenty-three  drops  ; tincture  of  Opium,  from  twenty  to  forty 
drops.  Mix.  Useful  in  dysentery,  diarrhoea,  and  cholera  morbus. 
Dose,  a tablespoonful  every  two  or  three  hours. 

Compound  Mixture  of  Bloodroot , ( Cough  Drops.)  — Syrup  of  Ipe- 
cac, Syrup  of  Squills,  Tincture  of  Bloodroot,  Paregoric,  each,  one 
ounce.  Mix.  Useful  for  coughs.  Dose,  from  half  a teaspoonful 
to  a teaspoonful  whenever  the  cough  is  severe. 

Ointments. 

Ointment  of  Acetate  of  Lead.  — White  wax,  two  ounces  ; lard, 
four  ounces.  Melt  them  together  and  add  of  finely  powdered 
Acetate  of  Lead,  two  and  a half  drachms  ; stir  constantly  until 
cold.  Useful  for  burns,  scalds,  ulcers,  blisters,  etc. 

Ointment  of  Oxide  of  Zinc.  — Oxide  of  Zinc,  half  an  ounce; 
lard,  three  ounces  ; rub  together.  Good  as  a mild  astringent  in 
chronic  inflammation  of  the  eyes,  sore  nipples,  eruptions,  etc. 

Ointment  of  Belladonna. — Extract  of  Belladonna,  one  drachm; 
lard,  one  ounce.  Mix.  Useful  as  an  anodyne  application  for  pain 
ful  tumors,  neuralgia,  etc. 

Ointment  of  Rose  Water.  — Rose  water,  one  fluid  ounce;  oil  of 
almonds,  two  fluid  ounces  ; spermaceti,  half  an  ounce  ; white  wax, 
one  drachm.  Melt  together  by  means  of  a water  bath,  the  oil, 
wax,  and  spermaceti,  then  add  the  rose  water,  and  stir  coi\stantly 


494 


OUR  FAMILY  PHYSICIAN. 


until  cold.  Useful  for  chapped  lips.  hands,  rawness  of  the  skin, 
etc.  Also  called  cold  cream. 

Ointment  of  Wood-soot.  — W ood-soot,  finely  powdered,  one  ounce  ; 
lard,  four  ounces.  Mix.  Useful  in  burns,  scald  head,  and  other 
diseases  of  the  skin.  Spread  it  or  cotton  batting.' 

Tar  Ointment.  — Tar  and  suet,  each,  one  pound.  Melt  the  suet, 
and  then  add  the  tar,  and  stir  constantly  until  cold.  A useful 
stimulating  application  in  scaly  and  scabby  eruptions,  such  as 
scald  bead. 

Compound  Sulphur  Ointment.  — Sulphur,  one  ounce;  Ammonia- 
ted  Mercury  and  Benzoic  acid,  each,  one  drachm  ; Sulphuric  acid 
and  oil  of  Bergamot,  each,  one  fluid  drachm  ; Nitrate  of  Potassa, 
two  drachms  ; lard,  half  a pound.  Melt  the  lard,  and  ad|l  the 
other  ingredients,  stirring  constantly  until  cold.  An  excellent 
remedy  for  itch. 

Plasters. 

Plasters  are  composed  of  oils,  fats,  gums,  resins,  wax,  and  some- 
times medicinal  substances,  and  are  spread  upon  muslin,  linin,  oi 
leather. 

Belladonna  Plaster.  — Resin  plaster,  three  ounces  ; extract  of 
Belladonna,  one  and  a half  ounces.  Melt  the  resin  plaster  with  a 
gentle  heat,  and  add  the  extract,  and  mix.  Useful  in  neuralgia, 
rheumatism,  etc. 

Spiced  Plaster.  — Powdered  ginger,  cloves,  cinnamon  and  black 
pepper,  each  one  ounce  ; pulverized  cayenne,  one  drachm  ; tincture 
of  ginger,  one  fluid  ounce  ; honey,  a sufficient  quantity.  Mix  the 
powders,  and  add  the  tincture  and  honey  to  form  a stiff  paste. 
Useful  applied  over  the  stomach  in  nausea  and  vomiting. 

Lead  Plaster . — Take  of  semivitrified  oxide  of  lead  (litharge), 
one  pound  and  a quarter  ; olive  oil,  one  quart;  water,  half  a pint.- 
Boil  together  over  a gentle  fire,  constantly  stirring  until  the  oil 
and  litharge  unite  to  form  a plaster.  If  the  water  nearly  all  evap- 
orates before  the  process  is  completed,  add  a little  boiling  water. 
Useful  in  ulcers,  burns,  slight  wounds,  etc. 

Compound  Galbanum  Plaster. — Galbanum,  two  ounces;  Bur- 
gundy pitch,  three  ounces  ; resin,  half  an  ounce  ; yellow  wax, 
half  an  ounce;  lead  plaster,  four  ounces;  melt  together  over  a* 
gentle  heat.  A valuable  strengthening  pla&jer. 

Powders. 

A single  agent  when  pulverized,  is  called  a simple  powder , and 
when  two  or  more  substances  are  mixed  together,  the  preparation 


PHARMACY. 


495 


is  called  a compound  powder.  Powders  should  be  kept  in  closely 
stopped  glass  bottles  or  tin  vessels,  and  some  may  be  required  to 
be  protected  from  the  light,  which  may  be  done  by  painting  the 
bottle  black. 

Compound  Powder  of  Aloes  and  Cannella.  — Aloe3  half  a pound  ; 
cannella,  one  and  a half  ounces.  Rub  separately  to  a fine  powder, 
and  mix  them.  Useful  for  constipation,  and  to  improve  the  appe- 
tite, also  for  amenorrhcea.  This  is  also  called  hicra  picra. 

Compound  Powder  of  Rhubarb.  — Rhubarb,  two  ounces  ; magne- 
sia, half  a pound  ; pulverized  ginger,  one  ounce.  Mix  thoroughly, 
and  keep  in  well-stopped  bottles.  Excellent  for  the  bowel  com- 
plaints of  children. 

Compound  Powder  of  Rhubarb  and  Potassa , ( Neutralizing  Powder.) 
— One  ounce  each  of  powdered  Rhubarb,  and  bicarbonate  of 
potassa.  Mix  thoroughly.  Valuable  in  diarrhoea,  dysentery, 
cholera  morbus,  heart  burn,  sour  stomach,  etc. 

Worm  Powder.  — Take  one  ounce  each  of  powdered  white 
Indian  hemproot,  mandrake,  pink  root,  and  bitter  root  ; powdered 
balmony,  two  ounces  ; powdered  aloes,  four  scruples.  Mix  thor- 
oughly. A certain  remedy  for  all  kinds  of  worms.  Mix  a tea- 
spoonful of  the  powder  in  a gill  of  molasses,  and  give  a teaspoonful 
of  this  mixture  every  one  or  two  hours  till  it  operates,  and  then 
give  three  times  a day  for  a few  days. 

Tinctures. 

Tinctures  are  the  solutions  of  medicines  in  various  fluids.  "When 
prepared  with  alcohol,  they  are  tinctures  ; when  with  ammonia, 
they  are  called  ammoniated  tinctures ; when  with  ether,  they  are 
termed  etherial  tinctures. 

Tincture  of  Aconite.  — Powdered  aconite  root,  four  ounces  ; alco- 
hol, half  a pint.  Mix,  and  let  them  stand  fourteen  days,  fre- 
quently stirring.  Press  out  the  juice  and  filter.  Useful  in  fevers. 
Dose,  three  drops  every  one  or  two  hours,  in  water. 

Tincture  of  Canthamdes.  — Bruised  Spanish  flies,  one  ounce; 
diluted  alcohol,  two  pints.  Let  tie  mixture  stand  for  two  weeks, 
press  out  the  juice  and  filter  through  paper.  Dose,  from  twenty 
drops  to  a drachm,  three  or  four  times  a day. 

Tincture  of  Lobelia. — Lobelia,  four  ounces  ; diluted  vinegar  and 
alcohol,  each,  one  pint.  Let  the  mixture  stand  two  wTeeks,  press 
and  filter.  Dose,  as  an  emetic,  or  expectorant,  from  thirty  to  six- 
ty drops. 

Laudanum. — Opium,  two  and  a half  ounces:  diluted  alcohol* 


496 


OUR  FAMILY  PHYSICIAN. 


two  pints.  Let  the  mixture  stand  for  two  weeks,  press,  and  filter 
through  paper.  Dose,  from  ten  to  twenty-five  drops. 

Compound  Tincture  of  Black  Cohosh.  — Tincture  of  Black  Cohosh, 
one  fluid  ounce  ; tincture  of  bloodroot,  half  a fluid  ounce  ; tinc- 
ture of  pokeroot,  two  fluid  drachms.  Mix.  Useful  in  diseases  of 
stomach,  lungs,  and  liver.  Dose,  from  twenty  to  sixty  drops  three 
or  four  times  a day. 

Compound  Tincture  of  Camphor.  — Camphor,  four  ounces  ; oil  of 
origanum,  oil  of  hemlock,  each,  two  ounces  ; oil  of  sassafras,  oi 
of  cajeput,  each  half  an  ounce  ; oil  of  turpentine,  two  fluid 
drachms;  capsicum,  one  ounce;  alcohol,  two  pints.  Mix,  let 
stand  fourteen  days,  and  filter.  Useful  in  sprains,  bruises,  rheu- 
matism, chilblains,  etc.  Rub  on  the  affected  part  before  the  fire. 
In  obstinate  cases,  after  using  as  above,  apply  a piece  of  flannel, 
which  should  be  kept  wet  with  the  mixture. 

Compound  Tincture  of  Colchicum. — Tincture  of  Black  Cohosh, 
and  tincture  of  Colchicum  seeds,  each  one  fluid  ounce.  Mix. 
Useful  in  inflammatory  rheumatism,  gout,  and  milk  leg  of  lying-in 
women.  Dose,  from  ten  drops  to  a teaspoonful  or  more  every  two, 
three,  or  four  hours.  Ten  or  fifteen  grains  of  the  iodide  of  potas- 
sium added  to  each  fluid  ounce  of  the  tincture  will  be  found  bene- 
ficial. 

Compound  Tincture  of  Lobelia.  ( Dr . J.  King's  Expectorant  Tinc- 
tured) — Take  of  Lobelia,  bloodroot,  skunk  cabbage,  wild  ginger  and 
pleurisy  root,  each  coarsely  powdered,  one  ounce.  Place  them  in 
a vessel,  and  cover  them  with  one  pint  of  boiling  water  or  vine- 
gar, and  cover  tightly.  When  cold,  add  alcohol,  three  pints.  Let 
the  mixture  stand  fourteen  days,  press  out  the  juice,  and  filter 
through  paper. 

An  excellent  emetic  for  infants  and  children,  in  croup,  whooping 
cough,  bronchitis,  and  convulsions.  Also  good  as  an  expectorant 
in  coughs,  pleurisy,  asthma,  etc.  Dose,  as  an  emetic  for  a child, 
from  half  a teaspoonful  upwards.  May  be  given  in  molasses  and 
water. 

Compound  Tincture  of  Myrrh.  [Hot  Drops.) — Bruised  Myrrh, 
four  ounces  ; capsicum,  two  ounces  ; alcohol,  four  pints.  Mix, 
and  let  the  mixture  stand  fourteen  days,  and  filter  ; applied  exter- 
nally, and  sometimes  given  internally,  for  colic,  etc.  Good  also  in 
rheumatism,  sprains,  bruises,  etc.  Dose,  from  half  a teaspoonful  to 
half  a tablespoonful  in  sweetened  water. 

Compound  Tincture  of  Virginia  Snake  Root. — Take  of  Virginia 
Snake  root,  Ipecac,  Saffron,  Opium,  Camphor,  each  in  coarse  pow- 
der, eight  scruples  ; Holland  gin,  or  diluted  alcohol,  one  pint 
Mix,  and  let  the  mixture  stand  fourteen  days,  press,  and  filter 

This  is  valuable  to  produce  sweating,  lessen  pain,  and  induce 


PHARMACY. 


497 


sleep.  Dose,  from  ten  to  sixty  drops  every  one,  two  or  four  hours 
in  catnip  or  balm  tea. 

Tincture  of  Arnica . — Arnica  flowers,  one  and  a half  ounces  ; 
diluted  alcohol,  one  pint.  Mix.  Let  the  mixture  stand  two  weeks, 
press  and  filter. 

Tincture  of  Camphor.  — Camphor,  two  ounces  ; alcohol,  one 

pint. 


Weights, 

Measures, 

ETC. 

20 

grains 

DRY 

MEASURE. 

make  1 scruple. 

3 

scruples  • 

- 

- 

44  1 drachm. 

8 

drachms 

- 

- 

44  1 ounce. 

12 

ounces. 

■ 

■ 

44  1 pound. 

60 

minims 

FLUID 

MEASURE. 

make  1 fluid  drachm. 

8 

fluid  drachms 

. 

, 

44  1 fluid  ounce. 

16 

fluid  ounces 

- 

- 

44  1 pint. 

8 

pints 

* 

• 

44  1 gallon. 

DOMESTIC  OR  APPROXIMATE  MEASURES. 


A teaspoonful  - * is  equal  to  1 fluid  drachm. 

A dessert-spoonful  - • 44  44  3 fluid  drachms. 

A tablespoonful  * 44  44  fluid  ounce. 

A wineglassful  - - 44  44  2 fluid  ounces. 

A teacupful  - - - 44  44  6 44  44 

As  spoons  vary  in  size,  they  should  not  be  used  in  giving  power- 
ful medicines.  In  giving  medicines,  the  smaller  dose  should  always 
be  given  first,  and  gradually  increased,  until  the  desired  effect  is 
produced. 

TABLE  OF  DOSES. 


Dose  for  an  adult 
44  44  a person 


u u u 

u u a 

u u u 

u u u 

u u u 

1(  U a 


over  21  years 
from  14  to  21  years 
“ 7 to  14  “ 

“ 4 to  7 41 

4 years  old  - 

3 “ 44 

2 “ « 

1 u u , 


1 drachm. 

- 2 scruples. 

\ drachm. 

• 1 scruple. 
15  grains. 

• 10  44 

8 44 
• 5 44 


32 


SECTION  y.  — SURGERY* 


Surgical  Appliances. 

Poultices. 

POULTICES  are  of  various  kinds  and  must  be  soft  and  moist/ 
and  sufficiently  thick  so  that  they  will  not  run  over  the  sur 
rounding  parts.  They  are  generally  applied  warm,  and  renewed 
before  becoming  dry. 

They  may  be  used  for  several  purposes  : to  scatter  tumors  ; to 
hasten  suppuration,  or  the  formation  of  matter  ; to  lessen  inflam- 
mation ; for  stimulating,  and  to  check  mortification. 

If  we  wish  to  produce  a soothing  effect,  poultices  of  bread  and 
milk,  or  corn  meal  and  flax  seed,  or  slippery  elm,  or  any  substance 
which  will  retain  moisture  and  warmth  for  a long  time,  may  be 
used. 

As  a stimulating  poultice,  we  may  mention  mustard  and  carrot 
poultices.  Take  two  or  three  garden  carrots,  and  after  boiling 
until  soft,  mix  with  them  a small  quantity  of  elm  bark,  or  flour. 
It  may  be  used  for  foul  ulcers,  and  for  tumors  of  a painful  char- 
acter. 

Charcoal  Poultice.  — Take  one  ounce  of  bread,  and  five  ounces 
cf  hot  water,  and  let  them  stand  for  ten  minutes  near  a fire  ; then 
add  powdered  flax  seed,  five  drachms  ; powdered  charcoal,  two 
drachms  ; and  form  a soft  poultice.  This  may  be  applied  to  ulcers, 
and  sores,  which  emit  offensive  odors. 

* Tlie  surgical  treatment  contained  in  this  work  is  drawn  mainly  from  ihe  teach- 
ings of  Surgeon  G.  D.  Beebe  of  Chicago,  whose  skill  and  ability  both  in  civil  and 
military  practice  are  extensively  known.  Prof.  Beebe  is  a recognized  authority, 
having  tilled  the  Chair  of  Surgery  in  Hahnemann  Medical  College  from  its  com- 
mencement. 


SURGERY. 


499 


Slippery  Elm  Poultice.  — This  is  made  of  powdered  elm  bark, 
and  sufficient  hot  water  to  form  a soft  mass.  Useful  whenever  a 
softening,  or  soothing  effect  is  required. 

Lobelia  Poultice.  — Take  equal  quantities  of  Lobelia  and  elm 
bark,  and  add  sufficient  hot  weak  lye,  to  form  a poultice.  Useful 
in  felons,  boils,  wounds,  stings  of  insects,  and  all  kinds  of  in 
flammation. 

Poke  Root  Poultice.  — Take  a quantity  of  Poke  root,  and 
roast  it  in  hot  ashes  ; when  soft,  pound  it,  and  form  a poultice  with 
hot  water.  This  will  sometimes  scatter  tumors,  boils,  and  felons. 

For  abscesses,  boils,  and  felons,  the  bread  and  milk,  and  flax 
seed  poultices  are  probably  the  best.  After  the  matter  begins  to 
discharge,  however,  the  slippery  elm  poultice  is  preferable.  The 
latter  is  also  the  best  poultice  in  carbuncles  or  other  deep  ulcers. 

Yeast  poultices  may  be  used  on  ulcers  which  slough  a great  deal 
and  where  there  is  an  offensive  odor. 

Fomentations. 

These  may  be  either  warm  or  cold,  and  the  object  i3  to  diminish 
inflammation  and  swelling.  Fomentations  may  be  made  of  Arnica, 
Calendula,  or  Urtica  Urens. 

The  Arnica  is  useful  in  bruises  and  sprains. 

The  Calendula,  in  cuts  and  lacerations. 

Urtica  Urens,  in  bruises  and  scalds. 

They  should  be  used  in  the  proportion  of  ten  to  twenty  drop* 
of  the  tincture,  to  half  a pint  of  cold  water  ; cloths  dipped  in  the 
mixture  and  wrung  out,  are  applied  and  frequently  changed. 

Hops  may  be  used  by  dipping  a sack  containing  them  into  hoi 
water,  and  applying  to  the  part  affected.  The  fomentation  should 
be  closely  covered,  so  as  to  retain  the  moisture  and  warmth.  Fo- 
mentations may  be  prepared  also  of  hops,  tansy  and  wormwood, 
each,  equal  parts  ; of  hops,  lobelia,  and  stramonium  leaves,  equal 
parts. 

Plasters. 

These  are  used  generally  for  keeping  wounds  together,  or  are 
put  on  sores  to  keep  out  the  air.  For  large  and  deep  wounds,  the 
best  is  the  common  sticking  plaster,  and  for  slight  wounds  and  abra- 
sions, the  court  plaster  may  be  used.  The  arnica  plaster  is  useful 


500 


OUR  FAMILY  PHYSICIAN. 


for  sprains  and  chronic  rheumatism,  particularly  in  the  small  of 
the  back  and  chest. 

Rollers  and  Bandages. 

These  should  be  made  of  stout  linen  or  cotton 
sheeting.  Strips  of  four  fingers’  width  should 
be  torn  off  and  sewed  together,  until  the  required 
length  is  attained  ; they  should  then  be  rolled 
tightly  together  so  as  to  be  more  easily  applied. 

In  applying  them,  the  operator  must  endeavor 
to  cover  every  part  of  the  limb,  and  the  bandage 
should  be  so  applied,  that  an  equal  pressure  will 
be  exerted  on  all  parts  ; it  should  be  made  to 
fit  smoothly  ; to  do  this  it  will  be  necessary  to 
turn  the  bandage  on  itself  in  certain  parts  of 
the  limb,  until  the  operator  is  able  to  go  on  in  an 
even  spiral  again,  all  the  time  letting  each  turn 
over  half  of  the  former. 

In  bandaging  an  arm  or  leg,  commence  with 
the  fingers  or  toes,  and  work  upward.  The  ban- 
dage should  not  be  applied  too  tight,  as  it  will 
stop  the  circulation,  and  might  produce  mortification.  The  illus- 
tration will  show  how  to  apply  a bandage. 

In  fractures  the  bandage  may  be  saturated  from  time  to  time, 
with  arnica  lotion,  or  cold  water. 

In  children  the  bandage  should  be  less  than  four  inches  in  width. 

Splints. 

These  may  be  made  of  tin,  thin  piece  of  board,  or  heavy  paste 
board,  and  should  be  of  suitable  length  and  width,  so  as  to  be  ad- 
justed to  a broken  limb,  and  fastened  by  straps,  or  roller  bandages. 

Fractures. 

When  a bone  is  broken,  it  is  said  to  be  fractured.  If  a bone  is 
broken  into  two  or  more  pieces,  without  any  external  wound  it  is 
called  a simple  fracture.  When  in  addition  to  the  fracture  of  the 
bone,  there  ia  an  external  wound,  down  to  the  point  of  fracture, 


StJRGERY. 


501 


it  is  called  a compound  fracture . There  are  other  forms,  but  these 
are  sufficient  for  this  work. 

The  symptoms  of  fractures,  are  sometimes  very  obscure.  There 
is  usually  pain,  and  inability  to  move  the  limb.  These  symptoms 
may  also  be  found  in#dislocations,  etc.  There  is,  however,  gener- 
ally a shortening  of  the  limb,  as  well  as  a change  in  its  form, 
with  loss  of  motion,  pain  and  swelling  ; there  is  also  a grating 
noise,  or  sensation,  called  crepitus , when  the  broken  ends  of  the 
bone  are  rubbed  against  each  other. 

TREATMENT. 

When  a fracture  occurs,  the  patient  should  be  removed  with 
great  care,  and  if  at  a distance  from  home,  he  should  be  placed  up- 
on a board  or  shutter,  or  carried  in  some  way  so  that  he  may  rest 
easily  ; the  injured  limb  should  not  be  permitted  to  hang  down, 
or  rolled  about,  but  be  supported  by  pads  of  straw,  leaves,  etc.,  to 
steady  it.  Broken  limbs,  especially  when  there  is  swelling,  should 
not  be  bandaged  for  the  first  three  or  four  days,  or  at  least  for  some 
hours  after  the  accident.  The  bandage,  being  tightened  by  the 
amount  of  swelling  going  on,  may  interfere  with  the  circulation 
of  the  blood,  and  cause  mortification.  The  broken  bone  should  be 
placed  in  as  comfortable  a position  as  possible,  and  allowed  to  re- 
main until  the  swelling  has  subsided.  Broken  ribs,  and  broken 
collar  bones,  however,  should  receive  immediate  attention. 

To  replace  the  bone,  the  patient  should  be  placed  upon  a bed,  or 
mattress,  and  if  the  edges  of  the  fracture  are  not  in  complete  op- 
position, the  persons  in  attendance  should  grasp  the  lower  part  of 
the  fractured  limb,  while  the  assistant  holds  the  upper  part,  and 
each  should  pull  gently,  but  forcibly  in  opposite  directions,  making 
extension  and  counter- extension,  as  it  is  termed.  After  the  bones  have 
been  properly  brought  together,  the  splints  and  bandages  may  be 
applied.  To  prevent  chafing,  or  injury,  the  splints  should  be  lined 
by  a thin  layer  of  cotton.  The  splints  must  be  held  by  one  or  two 
assistants,  and  the  operator  should  apply  the  bandage,  commenc- 
ing always  at  the  lower  part  of  the  limb.  After  the  limb  has  been 
dressed,  it  may  be  placed  on  a pillow  in  a bent  position,  or  in  a 
properly  made  fracture  box,  or  sling.  The  bandages  may  be  re- 
moved at  the  end  of  a week,  to  ascertain  that  parts  are  in  proper 
condition,  and  should  then  be  supplied. 

Fracture  of  the  Nose. 

This  will  be  easily  perceived  by  the  deformity. 


502 


OtJR  FAMILY  PHYSICIAN. 


TREATMENT. 

The  bones  may  be  adjusted,  by  introducing  within  the  nose,  a 
silver  or  wooden  pencil,  or  some  similar  instrument,  and  using  it  a3 
a lever  to  push  out  the  broken  bones,  while  the  fingers  on  the  out- 
side will  prevent  them  from  being  pushed  out  too  far.  To  keep 
down  inflammation  and  swelling,  apply  cloths  wet  with  cold  water, 
or  cold  Arnica  lotion,  for  several  days. 

Fracture  of  the  Lower  Jaw. 

The  lower  jaw  may  be  fractured  at  several  points,  and  the  frac- 
ture may  be  simple  or  compound.  It  may  be  known  by  the  pain 
on  moving  the  jaw,  by  the  loosening  of  the  teeth,  and  the  grating 
sensation  on  moving  the  bones. 

TREATMENT. 

Apply  over  the  chin,  a layer  of  lint,  or  cotton,  and  then  mould 
to  the  chin  and  under  surface  of  the  jaw,  a piece  of  thick  paste- 
board which  has  been  soaked  in  water  until  soft.  With  a roller 
bandage  two  inches  wide,  confine  this  splint  to  the  jaw,  and  press- 
ing the  lower  jaw  against  the  upper,  carrying  the  bandage  in  front 
of  and  under  the  chin  and  across  the  top  of  the  head.  This  band- 
age should  not  be  removed  for  three  or  four'days,  when  it  may  be 
re-applied.  Should  there  be  difficulty  in  keeping  the  fragments  in 
place,  the  teeth  nearest  the  fracture  on  either  side,  may  be  wired 
together,  with  a fine  iron  or  silver  wire. 

Fracture  of  the  Ribs. 

A fracture  of  the  ribs  may  be  caused  by  a violent  blow,  or  fall, 
and  may  be  known  by  the  difficulty  in  breathing,  and  by  the  slight 
cracking  which  is  heard  or  felt,  on  placing  the  hand  over  the  in- 
jured part,  when  the  patient  draws  in  a long  breath.  The  patient 
will  complain  at  every  breath  of  a stinging  pain  in  the  injured  side. 

treatment. 

Cut  adhesive  plaster  in  strips  one  and  one  half  inches  wide,  and 
fifteen  to  eighteen  inches  long,  and  when  warmed,  apply  them  to 
the  injured  side  of  the  chest ; one  end  of  each  strip  resting  on 
the  breast  bone,  and  thence  passing  in  a downward  and  outward 
direction  so  as  to  cross  the  point  of  fracture,  and  reach  round  to 
the  spine.  These  strips  should  be  made  to  cover  the  surface  of 
the  injured  side  for  two  or  three  inches  above  and  below  the  frac- 
ture, and  should  be  applied  while  the  patient  has  forced  the  air  out 


SURGERY. 


503 


of  his  lungs  as  much  as  possible.  Or  a broad,  stout  band  may  be 
pinned,  tightly  around  the  chest,  so  as  to  prevent  the  ribs  from 
moving  during  the  act  of  breathing. 

Fracture  of  the  Collar  Bone. 

This  is  of  frequent  occurrence,  and  requires  immediate  attention. 
It  may  be  recognized  by  the  shoulder  of  the  affected  side  being 
lower  than  the  other  ; by  the  pain  on  motion  ; the  patient  is  not 
able  to  raise  hi3  hand  to  his  head  ; the  arm  of  the  injured  side  falls 
upon  the  breast;  the  grating  sound  or  crepitus,  is  discovered  ©n 
moving  the  arm  or  shoulder  ; or  the  fractured  extremities  may  be 
felt,  by  passing  the  hand  along  the  collar  bone. 

TREATMENT. 

Place  a pad  in  the  arm-pit  of  sufficient  thickness  to  carry  the 
shoulder  out  away  from  the  body ; then  with  a sling  made  like  the 
sleeve  of  a coat,  extending  from  the  wrist  to  the  elbow,  elevate 
the  elbow,  and  carry  it  backward,  sustaining  the  weight  upon  the 
sound  shoulder,  and  oonfining  the  arm  of  the  injured  side  to  the 
body. 

Fracture  of  the  Shoulder  Blade. 

The  shoulder  blade  or  scapula  is  seldom  fractured,  except  from 
direct  or  violent  force.  "When  the  body  of  the  bone  is  broken,  the 
part  will  be  swollen  and  painful,  and  there  may  be  also  stiffness 
and  inability  to  move  the  arm  on  the  corresponding  side. 

TREATMENT. 

Apply  a compress  over  the  seat  of  fracture,  and  confine  the  bone 
in  an  immovable  position  by  a firm  bandage,  or  strips  of  adhesive 
plaster. 

Fracture  of  the  Upper  Arm,  or  Humerus. 

This  fracture  more  frequently  occurs  in  the  middle  part  of  the 
arm.  It  may  be  detected  by  the  patient  being  unable  to  raise  the 
elbow  or  forearm,  and  by  the  grating  sensation  which  may  be  per- 
ceived, when  the  fractured  ends  are  moved  upon  each  other. 

TREATMENT. 

Mould  a sole  leather  splint,  having  first  soaked  it  in  water  to 
soften  it,  to  the  outer  surface  of  the  arm,  and  extending  well  up 


504 


OUR  FAMILY  PHYSICIAN. 


oyer  the  point  of  the  shoulder  ; then  if  the  fracture  be  near  the 
upper  end  of  the  bone,  apply  a pad  in  the  axilla  or  arm  pit,  and  a 
short  splint  of  sole  leather  to  the  inner  side  of  the  arm,  and  con- 
fine all  by  a roller  bandage  from  the  fingers  up.  If  the  fracture 
be  remote  from  the  joint,  the  pad  may  be  omitted. 

Fracture  of  the  Elbow. 

The  elbow,  or  olecranon  process,  may  be  fractured,  and  detected 
by  the  pain  at  the  part;  by  the  patient  being  able  to  bend  the  arm, 
but  not  to  straighten  it  ; by  the  grating  sensation  perceived  by  the 
hand,  if  the  affected  arm  is  moved  forward  and  inward,  then  slow- 
ly backward  and  outward.  In  moving  the  arm,  one  hand  of  the 
operator  should  be  upon  the  seat  of  the  injury  and  the  other 
move  the  limb. 

TREATMENT. 

Fully  extend  the  arm,  and  apply  to  the  inner  side,  a long 
straight  splint  of  wood  ; then  placing  a firm  compress  above  the 
fragment  of  bone,  draw  it  down  into  its  proper  position,  by  strips 
of  adhesive  plaster  which  shall  be  made  fast  to  the  splint,  and 
the  whole  secure  to  the  arm  so  that  it  will  not  slide  upward. 

Fracture  of  the  Fore  Arm. 

There  are  two  bones  in  the  fore  arm  ; one  called  the  ulna,  and 
the  other  the  radius.  When  both  bones  are  broken,  the  fracture 
is  easily  discovered,  but  this  does  not  occur.  There  is  generally 
pain  in  the  fractured  part,  and  loss  of  motion  in  the  hand,  and  a 
grating  sensation  will  be  perceived,  when  the  limb  is  grasped  firm- 
ly above  and  below  the  fracture,  and  the  ends  of  the  bones  rubbed 
together. 

treatment. 

Two  straight  pieces  of  thin  board,  long  enough  to  reach  from 
the  elbow  to  the  tips  of  the  fingers,  well  wadded,  and  a little 
broader  than  the  arm,  should  be  placed  the  one  on  the  inner  and 
the  other  on  the  outer  side  of  the  fore  arm,  and  these  secured  in 
position  by  bandages,  in  such  a manner  that  when  the  fore  arm  is 
laid  across  the  front  of  the  chest,  the  thumb  shall  be  directed 
upward. 

Fracture  of  the  Fingers. 

If  the  first  or  second  joint  of  the  finger  be  broken,  it  is  easily 
discovered  ; but  if  the  third  joint,  it  is  more  difficult. 


SURGERY. 


505 


TREATMENT. 

Apply  a thin  and  narrow  splint,  cut  from  a piece  of  shingle,  or 
other  convenient  material,  to  the  inner  si^e  of  the  finger,  and 
confine  it  with  a narrow  bandage. 

Fracture  of  the  Thigh,  or  Femur. 

This  fracture  may  occur  in  any  part  of  the  thigh  bone,  from  the 
knee  to  the  thigh.  It  is  more  frequently  fractured  near  its  middle 
and  at  its  neck  or  upper  portion.  The  fracture  may  be  known  by 
the  pain;  by  the  inability  to  move  the  limb,  or  bear  any  weight 
upon  it,  and  by  the  grating  noise  when  the  ends  are  rubbed  together. 
If  the  fracture  be  oblique  the  limb  will  be  shortened  ; when  the 
neck  of  the  thigh  bone  is  broken,  the  knee  and  foot  will  turn  out- 
ward, and  the  limb  be  an  inch  or  so  shorter  than  the  other. 

TREATMENT. 


When  the  fracture  is  of  the  neck  of  the  bone,  the  limb  may  be 
placed  in  a double  inclined  splint,  (see  cut)  with  the  knee  bent, 


and  so  far  elevated  as  to  allow  the  body  to  drag  downward  some- 
what, for  the  purpose  of  keeping  the  extremity  at  full  length. 

When  the  fracture  is  of  the  middle  portions  of  the  bone,  a long 
straight  splint  should  be  used,  to  the  lower  end  of  which  the  foot 
should  be  made  fast,  and  the  upper  end  reaching  to  near  the  arm 
pit,  should  have  a strap  well  wadded  extending  through  the  groin, 
around  the  injured  thigh.  The  thigh  being  stretched  out  to  its 
full  length,  the  splint  may  be  made  secure  and  if  need  be,  the  frag- 
ments may  be  supported  by  short  splints  of  sole  leather,  and  a 
few  turns  of  bandage. 

Fracture  of  the  Leg. 

The  leg  is  that  part  of  the  limb  between  the  knee  and  the  ankle. 
It  has  two  bones  ; one,  the  smaller  bone  on  the  outer  part  of  the 
leg,  called  the  fibula , and  the  other,  on  the  inner  side,  called  the 


506 


OtJR  FAMILY  PHYSICIAN. 


tibia , or  shin  bone.  One  or  both  may  be  broken,  more  frequently 
the  latter.  The  fracture  may  be  known  by  the  patient  not  being 
able  to  walk  or  bear  upon  the  limb  ; pain,  change  in  the  shape,  in- 
ability of  the  limb,  and  a peculiar  grating  sensation  on  labbing  the 
broken  ends  together. 

TREATMENT. 

Place  the  leg  in  the  double  inclined  splint  (see  cut  on  previous 
page)  and  secure  the  foot  to  the  foot  piece  ; if  the  fragments 
should  incline  to  become  displaced,  apply  a short  splint  well  wad- 
ded, to  retain  them  in  position. 

Fracture  of  the  Foot. 

These  are  often  attended  with  laceration  of  the  flesh  and  liga- 
ments, and  are  more  dangerous  than  fractures  of  the  hand. 

treatment. 

If  the  flesh  is  much  lacerated,  and  the  bones  broken,  see  that 
the  bones  are  crowded  back  into  place,  and  apply  water  dressings, 
or  Arnica  lotion,  and  combat  the  inflammation  which  is  the  chief 
source  of  danger.  If  the  heel  bone  is  broken  off,  the  foot  should 
be  fully  extended  and  a straight  splint  applied,  extending  from  the 
toes  to  the  knee.  The  fragment  of  bone  should  be  held  in  place 
by  strips  of  adhesive  plaster,  or  roller  bandage. 

Compound  Fractures 

These  are  attended  by  external  wounds  through  the  skin,  caused 
by  the  protrusion  of  the  bone  ; they  are  consequently  more  dan- 
gerous than  simple  fractures,  but  their  treatment  does  not  particu- 
larly differ.  The  bandages,  however,  should  be  arranged  so  as  to 
permit  the  dressing  of  the  wound  without'causing  a new  displace- 
ment of  the  bones.  All  splinters  of  bone,  dirt,  etc.,  must  be  care- 
fully removed. 

Dislocations. 

The  surfaces  where  two  bones  meet,  and  glide  upon  each  other, 
are  called  articular  surfaces,  and  the  junction  is  called  the  articu- 
lation. The  surfaces  of  the  bone  are  covered  by  a smooth  carti- 
lage ; the  joints  are  held  together  by  ligaments  and  straps  of 
cartilage.  When  a bone  is  thrown  from  its  socket  by  force,  or  by 


SURGERY. 


507 


the  weakening  of  the  ligaments,  it  is  said  to  be  dislocated  or  lux- 
ated. If  a bone  is  merely  displaced,  it  is  termed  a simple  disloca- 
tion, but  when  the  surrounding  parts  are  injured,  it  is  called  a com- 
pound dislocation . A dislocation  should  be  reduced  as  soon  as 

possible  after  the  accident ; the  longer  the  reduction  is  postponed, 
the  more  difficult  it  becomes.  Sometimes  a fracture  and  disloca- 
tion occur  together ; in  such  a case  the  dislocation  should  be 
reduced  before  attention  is  given  to  the  fracture. 

The  symptoms  of  dislocation  are  inability  to  use  the  joints,  and 
bone  ; the  head  of  the  bone  may  be  felt  in  an  unnatural  place,  and 
the  limb  may  be  shortened  or  otherwise  distorted.  A dislocation 
is  to  be  reduced  by  a gradual  and  continuous  extending  force,  andv 
may  be  known  by  the  limb  recovering  its  natural  shape,  and  being 
able  to  perform  certain  motions  which  are  not  possible  while  the 
bone  is  out  of  place.  The  pain  is  gradually  reduced  after  the 
bone  has  been  set. 

In  dislocations  of  the  shoulder  and  hip,  the  bone  makes  a snap- 
ping noise  as  it  slips  into  its  place. 

Dislocation  of  the  Jaw. 

This  is  generally  caused  by  gaping  very  widely,  and  one  or  both 
sides  may  be  dislocated.  It  may  be  known  by  the  mouth  being 
wide  open,  the  chin  twisted  to  one  side,  or  thrown  downward  ; the 
patient  is  unable  to  close  the  mouth,  and  the  saliva  dribbles  away. 

TREATMENT. 

The  patient  being  seated,  stand  behind  him,  and  placing  a cork, 
or  block  of  wood  between  the  double  teeth  on  the  side  dislocated, 
and  both  sides  if  both  are  dislocated,  and  lift  gently,  but  steadily 
on  the  chin.  When  the  dislocation  is  reduced,  the  mouth  will 
readily  close  on  the  withdrawal  of  the  corks  or  blocks. 

Dislocation  of  the  Collar  Bone  or  Clavicle. 

The  collar  bone  is  more  liable  to  fracture  than  dislocation. 
When  dislocation  occurs  it  is  generally  at  its  junction  with  th.e 
breast  bone.  The  end  of  the  bone  may  be  drawn  backward  or  for- 
ward. When  thrown  backward,  it  leaves  a depression  at  the  upper 
part  of  the  breast  bone,  while  the  end  of  the  bone  will  be  felt  like 


508 


OtfR  FAMILY  PHYSICIAN. 


a tumor,  near  the  bottom  of  the  neck,  and  it  may  also  cause  con- 
siderable swelling.  When  it  is  thrown  forward,  a bunch  may  be 
felt  by  the  hand,  at  the  top  of  the  breast  bone. 

TREATMENT. 

If  the  bone  in  dislocated  backward,  carry  the  shoulder  out  away 
from  the  body,  with  sufficient  force  to  bring  the  bone  back  into 
position  ; then  pressing  the  shoulder  backward,  confine  it  in  that 
position.  If  the  dislocation  be  forward,  reduce  it  in  the  same 
manner,  and  then  confine  the  shoulder  in  a position  thrown  a lit- 
tle forward,  and  place  a firmly  secured  compress  over  the  end  of 
the  bone  to  prevent  it  being  again  displaced. 

Dislocation  op  the  Shoulder. 

The  head  of  the  long  bone  of  the  arm  (the  humerus)  may  be 
dislocated  in  three  different  directions  : downward,  into  the  arm  pit; 
forward,  upon  the  muscles  of  the  breast ; and  backward,  upon  the 
back  of  the  shoulder  blade. 

When  the  head  of  the  bone  is  thrown  into  the  arm  pit,  the  arm 
is  longer  than  the  other,  and  the  elbow  is  carried  from  the  side  ; 
the  roundness  of  the  shoulder  is  lost,  and  the  patient  can  not  raise 
the  arm  ; the  fingers  are  sometimes  numb. 

When  the  head  of  the  bone  is  thrown  forward,  it  may  be  known 
by  the  bunch  at  the  point  of  the  shoulder,  the  elbow  is  thrown 
from  the  side  backward,  the  arm  is  shortened,  and  the  head  of  the 
bone  may  be  felt  below  the  collar  bone. 

When  the  head  of  the  bone  is  thrown  backward  on  the  shoulder 
blade,  it  may  be  known  by  the  tumor  at  that  place  ; by  the  arm 
and  fore-arm  being  thrown  across  the  chest. 

treatment. 

When  dislocated  into  the  arm-pit,  let  the  patient  lie  on  the  back, 
and  place  the  foot  with  only  the  stocking  on,  in  the  arm-pit,  and 
then  pulling  upon  the  arm  with  considerable  force  crowd  the  head 
of  the  bone  out  by  pressing  the  foot  against  it  till  it  suddenly  slips 
into  the  socket. 


SURGERY. 


509 


If  the  dislocation  be  forward,  it  may  be  converted  into  a disloca- 
tion of  the  arm-pit,  by  carrying  the  arm  outward  and  upward,  and 
then  reduced  as  just  described. 

If  dislocated  backward,  the  operator  may  stand  up  instead  of 
being  seated  beside  the  patient  as  represented  in  the  cut,  and  by 
thus  pulling  the  arm  more  in  a forward  direction,  the  dislocation 
will  be  reduced. 

Dislocation  of  the  Elbow. 

T.he  most  common  dislocation  of  the  elbow,  is  that  in  which 
both  bones  of  the  fore-arm  are  thrown  backward  and  outward.  It 
may  be  known  by  the  point  of  the  elbow  being  more  prominent 
than  usual ; there  is  a hollow  place  on  each  side  of  the  elbow,  and 
the  fore-arm  is  bent  at  right  angles  upon  the  arm. 

TREATMENT. 

Take  hold  of  the  arm  above  and  below  the  elbow,  and  placing 
the  knee  in  the  bend  of  the  injured  elbow,  give  a strong  steady 
pull  while  at  the  same  time  you  bend  the  arm  around  the  knee, 
and  the  bones  will  slip  into  place. 

Dislocation  of  the  Wrist. 

This  may  be  known  by  the  pain  ; the  change  in  the  situation  of 
the  hand,  together  with  swelling  of  the  fore  part,  and  back  part 
of  the  hand. 


510 


OUR  FAMILY  PHYSICIAN. 


TREATMENT. 

Take  hold  of  the  injured  hand  while  an  assistant  holds  the  arm; 
and  while  pulling  upon  the  hand,  press  with  jour  other  hand  the 
displaced  bones  back  into  place. 

Dislocation  of  Bones  of  the  Fingers. 

This  maybe  known  by  the  projections  on  the  back  of  the  finger. 


Bend  the  finger  backward  at  the  joint  dislocated,  until  it  stands 
up  at  right  angles  ; then  with  your  thumbs,  crowd  the  base  of  the 
dislocated  bone  forward,  and  at  the  same  time  straighten  out  the 
finger. 

Dislocation  of  the  Hip. 

The  hip  joint  or  head  of  the  thigh  bone,  may  be  dislocated  in 
four  directions  ; upward  and  backward,  downward  and  backward  ; 
upward  and  forward,  and  backward  and  forward. 

The  upward  and  backward  dislocation  maybe  known  by  the 
leg  being  shorter  than  the  other,  by  about  two  inches,  and  the 
knee  and  foot  are  turned  inward. 

The  downward  and  forward  dislocation  is  known  by  the  length- 
ening of  the  limb  ; the  knee  is  widely  separated  from  the  other 
one,  and  the  foot  and  knee  are  turned  outward  ; on  attempting  to 
stand,  the  body  is  thrown  forward. 

The  dislocation  backward  and  downward,  is  known  by  the  limb 
being  slightly  shorter  and  the  knee  and  foot  are  turned  inward  ; 
the  drawing  up  of  the  heel,  and  the  resting  of  the  great  to* 
against  the  ball  of  the  great  toe  of  the  other  foot. 

The  dislocation  upward  and  forward  is  known  by  the  limb  being 
about  an  inch  shorter  than  the  other,  and  the  foot  and  knee  are 
turned  outward. 


SURGERY. 


511 


TREATMENT. 

If  the  dislocation  is  upward  and  backward  — “Place  the  patient 
on  his  back,  on  a low,  firm  table,  or  what  is  better,  upon  a quilt 
folded  and  laid  on  the  ground.  Let  the  operator  stand  or  kneel 
on  the  injured  side,  and  seize  the  ankle  with  one  hand  and  the 
knee  with  the  other.  Then  bend  the  knee  on  the  thigh  ; next, 
strongly  adduct  (see  Glossary),  carrying  it  over  the  sound  one,  and 
at  the  same  time  upward  over  the  pelvis  by  a kind  of  semi-circular 
sweep  as  high  as  the  navel.  Then  abduct  (see  Glossary)  the  knee 
gently,  turn  the  toes  outward,  the  heel  inward,  and  the  foot  across 
the  opposite  and  sound  limb,  making  gentle  oscillations  of  the  thigh , 
when  the  head  of  the  bone  will  slip  into  its  socket,  with  a slight 
jerk,  or  an  audible  snap,  and  the  whole  limb  will  slide  easily  down 
into  its  natural  position  beside  the  other.”  — (Dr.  W.  W.  Reid,  in 
Smith’s  Surgery.) 

If  downward  and  backward,  the  thigh  must  be  bent  on  the  body 
and  carried  across  the  opposite  one,  when  it  should  be  slowly  car- 
ried out  away  from  the  body  in  a manner  very  similar  to  that  above 
described. 

If  the  dislocation  is  upward  and  forward,  the  limb  should  be 
strongly  carried  out  away  from  the  body,  the  foot  rolled  outward, 
still  more  strongly,  till  the  head  of  the  bone  slips  downward  and 
the  dislocation  is  then  the  same  as  the  dislocation  downward 
and  forward.  The  thigh  should  then  be  strongly  bent  on  the  body 
and  carried  across  the  other  one,  when  by  rolling  the  leg  out  so 
that  the  sole  of  the  foot  looks  outward  and  upward,  the  head  of 
the  bone  will  slip  into  place. 

Dislocation  of  the  Kneepan,  or  Patella. 

The  knee-pan  may  be  dislocated  outward  and  inward. 

The  outward  dislocation  may  be  known  by  the  projection  or 
tumor  on  the  outside  of  the  knee-joint,  stiffness  of  the  knee,  and 
inability  to  walk.  This  is  the  most  common. 

The  inward  dislocation  is  very  uncommon,  and  the  symptoms 
are  the  same  as  the  preceding,  except  that  the  knee-pan  is  found 
inside  the  knee-joint. 

TREATMENT. 

The  patient  lying  on  the  bed,  place  his  heel  on  your  shoulder, 
the  leg  being  fully  extended  ; then  with  your  fingers  and  thumbs 
crowd  the  knee-pan  back  into  place. 

Dislocation  of  tiie  Knee-joint. 

The  knee-joint  may  be  dislocated  in  four  directions  : backward, 


512 


OUR  FAMTLY  PHYSICIAN. 


forward,  inward,  and  outward.  The  backward,  and  forward  are 
the  most  common. 

TREATMENT. 

Let  one  assistant  take  hold  of  the  foot  of  the  patient,  and  pull 
steadily  but  forcibly,  while  another  taking  hold  of  the  thigh,  pulls 
in  the  opposite  direction  ; then  standing  opposite  the  knee-joint, 
crowd  the  displaced  bones  into  position. 

Dislocation  of  the  Ankle-joint. 

Dislocation  of  the  ankle-joint  is  very  rare,  except  when  accom- 
panied by  fracture.  It  may  occur  forward,  backward,  outward,  or 
inward.  The  dislocation  inward  is  the  most  common,  and  may  be 
known  by  the  foot  being  thrown  outward,  the  inner  edge  resting 
on  the  ground  ; there  will  also  be  a hard  tumor  on  t.he  inside  of 
the  ankle,  and  a depression  on  the  outside. 

TREATMENT. 

Pulling  forcibly  upon  the  foot,  while  some  one  holds  the  leg  near 
the  knee,  and  bending  the  foot  in  such  a direction  as  to  favor  a re- 
turn of  the  bones  to  place,  will  readily  reduce  dislocations  not 
accompanied  with  fracture. 

Wounds. 

Wounds  are  divided  into  several  classes  : simple  incised  wound, 
occasioned  by  a sharp,  cutting  instrument ; lacerated  and  contused 
wound , caused  by  a rough  instrument,  as  a saw  or  club  ; punctured 
wound , caused  by  bayonets,  daggers,  etc.  ; and  poisoned  wound , when 
caused  by  the  stings  or  bites  of  venomous  insects,  or  snakes. 

TREATMENT. 

In  the  simple  incised  wound,  it  must  first  be  cleansed  from  all 
dirt,  etc.,  and  the  bleeding  stopped.  The  bleeding  generally  ceases 
after  applying  cold  water,  or  water  with  a little  tincture  of  Arni- 
ca in  it.  Other  agents  for  this  purpose  are,  solutions  of  tannin, 
alum,  decoction  of  white  oak  bark,  and  Monsel’s  salt,  the  latter  is 
an  excellent  remedy.  After  the  bleeding  has  ceased,  the  edges  of 
the  wound  must  be  brought  to- 
gether and  confined  by  a strip 
of  adhesive  plaster,  which 
should  remain  until  the  wound 
is  healed.  If  it  is  difficult  for 


— x ■'Ta 


SURGERY. 


513 


the  plaster  to  hold  the  edges  together,  a few  stitches  must  be  taken. 
If  the  bleeding  is  extensive,  and  is  of  a bright  red  color,  and  gushes 
out  in  jets,  it  indicates  that  an  artery  has  been  severed.  Compres- 
sion should  be  then  applied  on  the  artery  above  the  wound,  and 
between  the  wound  and  the  heart.  If  pressure  with  the  fingers  is 
not  sufficient,  bind  around  the  limb  a handkerchief  as  tight  as  pos- 
sible. 

In  the  lacerated  and  contused  wound,  the  treatment  will  be  sim- 
ilar to  the  above  If,  however,  there  is  a great  degree  of  inflam- 
mation, the  plaster  must  be  removed,  and  cold  water  dressing  used, 
or  sometimes  a soothing  poultice.  Calendula  tincture  is  preferable 
to  Arnica,  in  this  class  of  wounds. 

The  treatment  of  punctured  wounds  is  about  the  same  as  the 
the  others.  Care  should  be  taken  that  the  wound  docs  not  heal  from 
the  bottom  ; this  may  be  prevented  by  inserting  in  the  wound  a 
small  piece  of  lint 

Dr.  Freeman,  of  New  York,  recommends  Pond’s  Extract  in  all 
cases  of  this  nature.  When  the  wound  or  bruise  has  been  properly 
dressed,  as  above  noted,  keep  the  parts  well  wet  by  repeated  applica- 
tions of  the  Extract. 

STINGS  AND  BITES  OF  INSECTS. 

Poisoned  wounds  include  the  bites  and  stings  of  mosquitoes,  spi- 
ders, bees,  wasps,  and  snakes.  A free  application  of  Pood’s  Extract 
will  give  immediate  relief  in  all  these  cases.  A solution  of  common 
salt  may  be  used  with  advantage,  as  well  as  water  of  ammonia,  a 
poultice  of  plantain  leaves,  tincture  of  arnica,  wet  earth,  or  olive  oil. 

In  the  bites  of  snakes,  a handkerchief  or  other  ligature  should 
be  immediately  bound  tightly  around  the  limb,  between  the  wound 
and  the  heart.  The  poison  should  then  be  sucked  from  the  wound 
either  by  the  application  of  the  dry  cup,  or  the  mouth.  The  pa- 
tient should  as  soon  as  possible  drink  whisky,  gin,  or  brandy,  until 
intoxicated,  and  should  remain  under  its  influence  until  the  symp 
toms  are  better. 

BRUISES. 

A bruise  is  caused  generally  by  a blunt,  hard  substance  coming 
in  violent  contact  with  the  soft  parts  of  the  body,  witnout  breaking 
the  skin.  The  smaller  blood  vessels  arc  generally  ruptured,  which 
lets  the  blood  out  under  the  skin,  producing  black  and  blue  spots. 

TREATMENT. 

Bathe  the  parts  freely  with  Pond’s  Extract,  or,  to  one  part  of 
Arnica  tincture,  add  six  or  eight  parts  of  water,  and  apply  over  the 
bruise  a cloth  wet  in  the  lotion. 

33 


514 


OUR  FAMILY  PHYSICIAN. 


Sprains. 

A sprain  is  a forcible  wrenching  and  twisting  of  a joint,  to  such  a 
degree  as  to  more  or  less  lacerate  and  stretch  the  ligaments,  hut  with- 
out displacing  the  bone.  The  symptoms  are  pain,  swelling,  inflam- 
mation, and  tenderness  of  the  parts.  Care  should  be  taken  to  ascer- 
tain that  no  partial  dislocation  of  the  bones  of  the  joint  injured  has 
occurred.  In  a sprain,  the  swelling  comes  on  gradually,  and  the 
joint  may  be  moved  immediately  after  the  injury,  while  in  disloca- 
tion, the  swelling  and  loss  of  motion  occur  immediately  after  the 
accident. 

TREATMENT. 

To  one  part  of  the  tincture  of  Aconite  root , add  six  or  eight  parts 
of  water,  and  wrap  the  joint  with  cloths  wet  in  this  lotion. 

Burns  and  Scalds. 

Burns  and  scalds,  unless  extensive,  are  not  particularly  dangerous. 
When,  however,  they  cover  a large  surface,  or  are  deep,  they  are 
both  dangerous  and  troublesome.  In  treating  them,  attention  should 
be  given  to  the  constitutional  symptoms,  and  to  the  prevention  of 
adhesions  and  contractions  during  the  process  of  healing.  When  a 
burn  is  situated  upon  the  hand,  involving  the  fingers,  the  fingers 
should  be  widely  separated,  and  secured  in  such  position  by  splints 
and  bandages. 

treatment. 

Take  equal  parts  of  lime  water  and  linseed  oil,  in  which  is  dis- 
solved one  part  of  Carbolic  acid,  to  fifty  of  the  mixture,  and  smear- 
ing the  burned  surface  thickly  with  this  substance,  cover  it  over 
with  a layer  of  raw  cotton.  The  lime  water  and  linseed  oil  may  be 
used  without  the  Carbolic  acid. 

If  the  burn  be  not  very  deep,  apply  to  the  surface  cotton  cloths 
wet  in  strong  alum  water.  Castile  soap,  scraped  and  mixed  with 
water  to  a thick  lather,  spread  thickly  on  linen  or  cotton  cloth,  and 
spread  on  the  burned  surface,  will  be  found  excellent.  Flour  sprink- 
led over  the  surface,  is  also  good,  as  also  raw  cotton  spread  out  thin. 

Frozen  Limbs.  — treatment. 

Keep  them  away  from  any  fire  — thaw  out  the  part  slowly  by  rub- 
bing it  with  snow,  then  flannel,  and  finally  with  the  hand,  and  then 
bathe  freely  and  frequently  witfi  Pond’s  Extract,  especially  night 
and  morning. 


SURGERY. 


515 


Boils,  (Ferunculus . ) 

A boil  is  a hard,  conical  shaped  swelling,  which,  at  first  is  about 
the  size  of  a pea,  and  may  be  situated  in  almost  any  part  of  the 
body.  The  swelling  rapidly  increases  and  becomes  of  a florid  or 
purple  color  ; after  five  or  six  days  the  swelling  becomes  pointed 
and  white  at  the  top,  and  bursts  and  discharges  a quantity  of  mat- 
ter. In  the  opening  of  a boil  there  will  be  found  a piece  of  mem- 
brane commonly  called  the  “ core,”  which  must  be  expelled  before 
the  boil  will  heal.  After  the  discharge  of  matter,  the  pain  ceases, 
the  swelling  disperses,  and  the  part  heals  in  a few  days.  Frequent- 
ly persons  will  have  a “ crop  ” of  them,  continuing  sometimes  for 
months  or  years.  They  are  generally  connected  with  some  de- 
rangement of  the  liver  or  stomach. 

TREATMENT. 

Apply  warm  poultices  till  they  soften  and  discharge.  To  pre- 
vent their  recurrence,  give  the  Homeophatic  remedies,  Arnica  and 
Sulphur. 

Carbuncle,  (Anthrax.) 

This  is  a malignant  boil  which  seldom  suppurates,  but  discharges 
a thin  acrid  matter,  and  is  exceedingly  painful. 

Symptoms . — A carbuncle  commences  with  heat  and  pain  in  the 
affected  part,  and  more  or  less  itching.  A small  pimple  is  first  ob- 
served forming  a deep  seated  and  very  hard  tumor  ; frequently  the 
patient  will  suffer  with  cLaIs  ; fain  tings  ; nausea,  etc.  ; as  the  tu- 
mor progresses  it  becomes  of  a dark  red  or  purplish  color,  and 
lighter  towards  the  margins  ; a small  blister  forms  on  the  top  of 
the  tumor,  which  when  broken,  discharges  a thin,  dark  colored 
fluid.  As  the  disease  progresses,  several  openings  are  formed,  and 
the  carbuncle  may  proceed  very  rapidly  to  a state  of  mortification. 

They  vary  in  size  from  half  an  inch  to  five  or  six  inches,  or  even 
larger ; when  they  appear  on  the  head  or  neck,  they  are  more 
dangerous  than  in  other  situations.  They  sometimes  prove  fatal. 

TREATMENT. 

When  the  inflammation  first  begins,  give  the  homeopathic  rem 
edy,  Arsenicum ; a dose  every  one  or  two  hours,  and  the  attack 


516 


OUR  FAMILY  PHYSICIAN. 


will  be  arrested.  If  it  has  suppurated,  apply  poultices  till  the  dead 
tissue  all  comes  away,  and  then  treat  it  as  a common  ulcer. 

Felon,  (Whitlow) 

Whitlow  or  felon  is  an  inflammation  of  a very  painful  characxer, 
situated  near  the  joints  of  the  fingers  or  toes.  There  are  ^ur 
kinds. 

1st.  That  situated  under  the  skin  and  around  the  nail. 

2d.  That  situated  in  the  inner  part  of  the  end  of  the  finger 

3d.  That  situated  within  the  sheath  of  the  tendons  of  ihe 
finger. 

4th.  That  situated  within  the  periosteum,  or  covering  of  the 
bone. 

The  latter  form  of  the  disease  is  the  most  terrible,  and  occasions 
much  suffering  ; when  allowed  to  progress  without  proper  atten- 
tion, it  may  cause  the  loss  of  one  or  more  of  the  bones,  or  even 
of  the  hand  itself.  It  commences  with  a deep-seated  pain,  red- 
ness and  swelling  ; as  matter  forms,  the  pain  becomes  throbbing. 

TREATMENT. 

As  soon  as  you  are  satisfied  that  it  is  to  be  a felon,  have  it  lanced, 
and  be  sure  the  cut  is  broad  enough  and  deep  enough  to  let  out  the 
matter  easily  ; when  the  felon  is  situated  within  the  periosteum, 
(the  covering  of  the  bone)  as  is  usually  the  case,  the  lance  should 
be  carried  down  to  the  bone,  and  made  to  scrape  along  on  the  bone, 
enough  to  be  sure  and  open  the  periosteum.  Poultices  of  flax- 
seed, slippery  elm,  or  bread  and  milk  may  be  used. 

Ingrowing  Toe-nail. 

This  is  an  exceedingly  painful  affection,  caused  by  wearing  tight 
boots.  The  constant  pressure  on  the  great  toe,  causes  the  edge 
of  the  nail  to  sink  into  the  flesh,  producing  ulceration,  and  the 
formation  of  proud  flesh. 


TREATMENT. 

Scraping  the  nail  very  thin  on  top,  and  pressing  under  it  some 
cotton,  will  sometimes  relieve.  A good  remedy  is  to  pour  hot 
.ard  or  tallow  under  the  nail  at  the  seat  of  difficulty.  The  dry 
powder  of  the  perchloride  of  iron,  is  highly  recommended.. 


POISONS  AND  ANTIDOTES. 


617 


Poisons  and  their  Antidotes. 

IN  cases  of  poisoning,  the  first  thing  to  be  done,  is  to  excite  vom 
iting,  so  as  to  eject  the  poison  as  soon  as  possible  from  the 
3tomach,  or  to  neutralize  its  action,  by  the  use  of  antidotes. 

To  produce  vomiting,  the  following  means  may  be  resorted  to  : 
Twenty  grains  of  Sulphate  of  Zinc,  or  ten  grains  of  Sulphate 
of  Copper,  dissolved  in  warm  water. 

Tepid  water  drank  in  large  quantities,  and  often  repeated. 

Snuff  or  mustard  mixed  with  salt,  or  mustard  mixed  in  warm 
water  and  drank  freely. 

Tickling  the  throat  with  a feather  or  straw. 

Injections  of  tobacco  into  the  anus  through  a pipe  stem. 

Poisoning  by  acids,  such  as  Sulphuric,  Nitric,  Muriatic  and 
Phosphoric  Acid  ; use  Spirits  of  Hartshorn,  Soap  suds,  Magnesia, 
Lime,  Chalk  powder,  mixed  with  water  ; Wood  ashes  mixed  with 
water. 

Poisoning  by  Oxalic  Acid  is  best  overcome  by  Chalk,  Lime,  or 
plaster  from  the  ceiling,  mixed  with  water  and  drank  freely. 

"When  Sulphuric  Acid  has  been  taken,  the  use  of  much  water 
will  be  injurious. 

In  poisoning  by  Alkaline  substances,  such  as  pot  and  pearl  ashes, 
soda,  and  oil  of  tartar  ; use  as  antidotes,  vinegar,  lemon  juice 
castor  oil,  flaxseed  tea,  alum,  and  olive  oil.  They  should  be  given 
in  large  quantities. 

When  Arsenic  has  been  taken,  give  Butter  milk,  Sweet  oil  or 
other  oil,  or  Magnesia,  in  large  quantities  ; equal  parts  of  oil  and 
lime  water,  may  also  be  given.  The  most  certain  antidote  is  the 
Hydrated  Protoxide  of  Iron,  which  should  be  taken  in  doses  of  a 
teaspoonful  mixed  with  water  and  repeated  every  five  or  ten  min- 
utes. A stomach  pump  should  also  be  used. 

When  Corrosive  Sublimate,  Copper,  or  Verdigris  have  been 
taken,  the  best  remedy  is  the  white  of  eggs  ; mix  up  the  white  of 
twelve  eggs  with  a quart  of  water  or  milk,  and  give  a glassful  every 
two  or  three  minutes  ; Chalk  water,  milk,  starch  from  wheat  flour, 
may  also  be  used. 

In  poisoning  by  lead  or  any  salt  of  lead,  give  large  doses  of 
Kpsom  Salts,  or  Glauber’s  Salts,  or  Plaster  of  Paris  mixed  with 
«vater. 


518 


OUR  FAMILY  PHYSICIAN. 


Nitrate  of  Silver  may  be  neutralized  by  drinking  freely  of  common 
salt  dissolved  in  water. 

In  poisoning  by  tin,  or  any  salt  of  tin,  use  sugar,  white  of  eggs, 
milk  and  flour. 

In  poisoning  by  Tartar  Emetic,  and  Antimonial  Wine,  use  a 
solution  of  Tannic  Acid,  Oak  Bark,  Peruvian  Bark,  or  very  strong 
green  tea. 

Iodine  or  Iodide  of  Potassium  may  be  neutralized  by  starch  or 
wheat  flour  ; or  arrow  root  well  mixed  with  water  taken  in  large 
quantities.  This  may  be  followed  by  a mixture  of  vinegar  aad 
water. 

In  poisoning  by  Opium,  Belladonna,  Stramonium,  Nux  Vomica, 
Morphine,  Hellebore,  etc.,  give  an  emetic  followed  by  cold  water 
dashed  over  the  person,  and  strong  coffee,  or  vinegar  diluted  with 
water.  The  person  should  be  made  to  walk  rapidly  between  two 
persons.  The  stomach  pump  should  also  be  used. 

In  poisoning  by  Saffron  and  Camphor,  the  patient  should  drink 
freely  of  black  coffee. 

In  poisoning  by  Cantharides,  or  Spanish  fly,  give  Camphor  in- 
ternally or  by  smelling  ; also  white  of  eggs  and  gruels. 

Poisoning  by  clams,  lobsters,  muscles,  etc.,  give  an  emetic,  foi 
lowed  by  a dose  of  salts.  The  patient  may  drink  freely  of  strong 
coffee,  sugar,  and  water,  or  a solution  of  camphor. 

In  poisoning  by  the  poison  vine  or  sumach,  the  parts  may  be 
bathed  with  a solution  of  Borax  or  Copperas,  or  a wash  may  be 
made  by  boiling  elder  bark  in  butter  or  milk.  The  fluid  extract  of 
Serpentaria  applied  to  the  eruption,  is  highly  recommended. 

When  a person  has  been  rendered  insensible  by  poisonous  gases, 
as  Carbonic  Acid,  or  sulphureted  Hydrogen,  he  should  be  immedi- 
ately stripped,  and  cold  water  dashed  over  the  body.  The  lungs 
should  be  filled  with  fresh  air  by  means  recommended  under  appar- 
ent death  from  drowning.  The  patient  should  be  made  to  swallow 
dilute  ammonia,  or  wine  and  brandy,  or  other  stimulants. 

In  poisoning  by  Strychnine,  emetics,  such  as  mustard,  or  Sul- 
phate of  Zinc,  should  be  used,  as  well  as  a stomach  pump. 

If  vomiting  cannot  be  produced  or  proves  useless,  Chloroform  by 
inhalation  should  be  administered.  If  these  means  fail,  use  Dr. 
Marshall  Hall’s  ready  method  as  given  under  u Apparent  Death 
from  Drowning.” 

In  poisoning  by  Arnica,  give  vinegar. 

In  poisoning  by  Aconite,  use  stimulants,  externally  and 
internally 


GLOSSARY 


— OF— 

SCIENTIFIC  AND  TECHNICAL  TERMS 


USED  IN  THIS  WORK. 


Abduct.  — To  draw  one  part,  of  the  body  away  from  the  other. 

Abscess.  — A collection  of  pus  or  matter  in  any  part  of  the  body. 

Abortion.  — The  birth  of  the  child  before  the  seventh  month. 

Abdomen.  — The  belly. 

Acute.  — Sharp,  severe,  violent.  The  opposite  of  chronic. 

Acrid.  — Biting,  hot ; substances  which  occasion  a sense  of  irritation  when  ap- 
plied to  the  throat,  or  other  part  of  the  body. 

Adduct. — To  draw  one  part  of  the  body  towards  another,  as  drawing  the  le^ 
towards  the  middle  line  of  the  body. 

Aggravated.  — Made  worse. 

Alternation.  — To  take  in  turn,  or  turn  about. 

Autumnal.  — Pertaining  to  auiumn. 

Aperient.  — A medicine  which  opens  the  bowels. 

Apyrexia.  — The  abscence  of  fever. 

Bilious.  — That  which  relates  to  bile , diseases  due  to  an  increased  secretior 
of  bile. 

Bowels.  — The  intestines. 

Blister.  — A thin  bladder  on  the  skin,  containing  watery  fluid. 

Bloated.  — Swollen. 

Bloodshot.  — Red  from  fullness  of  the  blood  vessels. 

Blunted.  — Made  dull. 

Calculus.  — A solid  body  which  may  be  formed  in  any  part  w*  the  body. 

Caries.  — Ulceration  of  the  bones. 

Cathartic.  — A medicine  which  purges  the  bowels. 

Catamenia.  — The  monthly  period  of  women. 

Cervix.  — The  neck. 

Cervix  Uteri.  — The  neck  of  the  womb. 


520 


OUR  FAMILY  PHYSICIAN, 


Chronic.  — Diseases  which  are  slow  in  their  progress,  and  continue  for  a long 
time.  The  opposite  of  acute. 

Characterized.  — Distinguished  by  peculiar  qualities. 

Clammy.  — Soft,  sticky. 

Collapse.  — Failure  of  strength  ; loss  of  vital  power. 

Coma.  — Profound  stupor  or  sleep. 

Contagious.  — A disease  which  spreads  by  direct  or  indirect  contact. 
Congestion.  — The  accumulation  in,  and  distention  of  vessels  or  parts  by  blood. 
Convalescence.  — The  period  of  recovery  of  health  after  disease. 

Confluent.  — Running  together,  forming  a mass. 

Convulsion.  — A violent  and  involuntary  contraction  of  the  muscles  of  anv 
part  of  body. 

Constipation.  — A state  of  the  bowels  in  which  the  contents  are  hard  and  ex- 
pelled with  difficulty. 

Contracted.  — Drawn  together. 

Concave.  — Hollow. 

Convex.  — A rising  or  swelling  on  the  outer  surface. 

Costive.  — Constipated. 

Cornea.  — One  of  the  coats  of  the  eye. 

Corrosive.  — Substances  which  destroy  the  flesh. 

Crystalline  Lens. — A transparent  body  in  the  eye,  serving  to  transmit  the 
rays  of  light  to  the  vitreous  humor. 

Cuticle.  — The  scarf  skin.  ■ 

Decoction.  — The  liquor  in  which  any  medicinal  substance  has  been  boiled. 
Debility.  — Weakness. 

Delirium.  — A state  of  mind  in  which  the  person  is  wild. 

Desiccation.  — The  act  of  making  dry. 

Digestion.  — The  act  of  preparing  the  food  in  the  stomach  for  nourishment. 
Diluent.  — That  which  makes  more  thin,  or  liquid. 

Dilated.  — Expanded,  made  larger. 

Disinfecting.  — Purifying  from  noxious  atmosphere. 

Edematous.  — A soft  spongy  swelling. 

Effusion.  — The  pouring  out  of  blood  or  other  fluids,  into  any  portion  of  the 
body. 

Effervescing.  — Bubbling  caused  by  the  escape  of  gases  through  a liquid. 
Elongation.  — The  act  of  lengthening  or  stretching. 

Emaciation.  — Becoming  lean  by  a gradual  waste  of  flesh. 

Emetic.  — A medicine  which  excites  vomiting. 

Epidermis.  — The  cuticle  or  scarf  skin  of  the  body. 

Epidemic.  — A disease  which  generally  prevails,  without  regard  to  climate,  sea- 
son, or  country. 

Eradicate.  — To  thoroughly  destroy  ; to  extirpate. 

Eruptive.  — A disease  attended  with  an  eruption. 

Erythema.  — A burning  redness  of  the  skin. 


GLOSSARY. 


521 


Evacuate.  — To  make  empty  ; to  discharge. 

Excoriate.  — To  wear  off  the  skin  and  make  raw. 

Expectorate.  — To  throw  out  phlegm  or  other  matter  from  the  windpipe  or 
lungs,  by  coughing  or  spitting. 

Expiration.  — The  act  of  breathing  out. 

Febrile.  — Pertaining  to  fever. 

Fetid.  — Having  a strong  offensive  smell. 

Fomentation.  — The  application  of  cloths  which  have  been  dipped  in  hot  water, 
or  water  containing  medicine. 

Fumigation.  — The  act  of  purifying  the  air  by  means  of  medicated  vapor  or 
smoke. 

Gargle.  — A liquid  preparation  for  washing  the  throat. 

Gelatinous.  — Resembling  jelly. 

Hectic.  — A fever  which  occurs  generally  at  night. 

Hemorrhage.  — A discharge  of  blood. 

Hereditary.  — That  which  has  descended  from  an  ancestor. 

Hiccough.  — A sound  caused  by  the  sudden  and  involuntary  contraction  of  th* 
diaphragm,  and  the  contraction  of  the  glottis. 

Hymen.  — A membrane  situated  near  the  opening  of  the  vagina  in  virgins. 
Imperforate.  — Having  no  opening. 

Indigestible.  — Not  easy  of  digestion. 

Inflammation.  — Redness  and  swelling  of  any  part  of  the  body. 

Infusion.  — The  liquor  in  which  plants  have  been  steeped,  and  their  medicinal 
virtues  extracted. 

Infusioria.  — Minute  animals  which  inhabit  water. 

Infectious.  — A disease  which  is  communicated  from  one  person  to  another. 
Inhale.  — The  act  of  breathing  in. 

Inherited.  — Received  from  an  ancestor. 

Injection. — A liquid  thrown  into  the  bowels  through  the  external  opening  or 
anus. 

Inspiration.  — The  act  of  drawing  air  into  the  lungs. 

Intermission.  — The  time  be  ween  the  paroxysms  of  a disease. 

Inunction.  — The  act  of  anointing. 

Involuntary.  — Against  the  will. 

Kidneys.  — Two  organs  which  secrete  the  urine. 

Lancinating.  — Sharp,  piercing,  shooting  pain. 

Livid.  — Of  a lead  color  ; black  and  blue. 

Lotion.  — A liquid  preparation  for  application  to  some  part  of  the  body. 
Malignant.  — A disease  of  a very  serious  character,  threatening  the  life  of  thf 
patient. 

Malaria.  — The  poisonous  air  arising  from  decaying  animal  or  vegetable  sub 
stances,  or  from  the  earth. 

Malformation.  — A wrong  formation  or  structure  of  parts. 

Masticate.  — To  chew  ; to  grind  with  the  teeth. 


522 


OUR  FAMILY  PHYSICIAN. 


Maturation.  — The  formation  of  pus  or  matter  in  any  part  of  the  body 
Menstruation.  — The  courses  or  monthly  periods  of  women. 

Miasmata.  — Sec  Malaria. 

Mucous.  — The  membrane  lining  some  of  the  cavities  of  the  body,  as  the  mouth, 
throat,  bowels. 

Mucus.  — A fluid  secreted  or  poured  out  by  the  mucous  membrane,  serving  to 
protect  it. 

Narcotic.  — A medicine  which  relieves  pain  and  produces  sleep. 

Nutritious.  — A substance  which  nourishes,  or  feeds  the  body. 

Opacity.  — The  quality  of  a body  which  renders  it  impervious  to  light ; not 
transparent. 

Optic  Nerve.  — The  nerve  which  enters  the  back  part  of  the  eye. 

Palate.  — The  upper  part  of  the  cavity  of  the  mouth. 

Papule.  — A pimple. 

Paroxysm.  — A periodical  fit  of  a disease. 

Paralyzed.  — Affected  with  palsy. 

Perspiration.  — The  fluid  thrown  out  by  the  skin. 

Peritoneum.  — The  membrane  lining  the  abdomen,  and  covering  the  bowels. 
Periosteum.  — The  membrane  surrounding  the  bones. 

Physic.  — Medicine  taken  to  produce  an  evacuation  of  the  bowels. 
Phlegmonous.  — An  inflammation  affecting  the  tissue  beneath  the  skin. 

Phlegm.  — A stringy  mucus. 

Premonitory  Symptoms.  — Those  which  precede  or  foretell  the  approach  of 
disease. 

Prescription.  The  formula  for  the  preparation  of  medicines. 

Probe.  — An  instrument  for  examining  the  depth  of  a wound. 

Purgative.  — A medicine  acting  on  the  bowels  to  loosen  them. 

Pungent.  — Sharp,  biting. 

Purulent.  — Consisting  of  pus  or  matter. 

Pustule.  — A pimple  with  an  inflamed  base,  containing  matter. 

Putrid.  — Rotten,  corrupt. 

Relapse.  — To  fall  back  from  recovery. 

Remission.  — A temporary  abatement  from  the  force  of  a disease. 

Saline.  — Of  the  nature  of  salt. 

Saliva.  — The  fluid  secreted  by  the  glands  of  the  mouth. 

Salivation.  — An  increase  in  the  secretion  of  the  saliva.. 

Saturated.  — Supplied  to  fullness. 

Scab.  — A crust  formed  over  a sore  in  healing. 

Scarf  skin.  — The  outer  skin  of  the  body. 

Secretion.  — The  separation  of  the  material  of  the  blood,  performed  mostly  by 
the  glands,  as  the  saliva,  bile,  etc. 

Sloughing.  — The  separation  of  the  dead  flesh. 

Solution.  — The  operation  of  dissolving  a solid  body  in  a liquid. 

Spasmodic.  — Like  a spasm. 


GLOSSARY. 


5*23 

Spbottio. — A medicine  which  ha®  the  power  to  cure  a disease  without  fail. 
Stimulant.  — A medicine  which  has  the  power  to  cause  an  increase  of  y*tal 
energy. 

Stupor.  — Suppression  of  sensibility  ; numbness. 

Tepid.  — Warm. 

Tonic.  — A medicine  which  increases  the  strength  of  the  system. 

Tonsils.  — G&ndular  bodies  situated  ti  the  back  part  of  the  throat. 

Torpid.  — Dull,  stupid. 

Transparent.  — Admitting  light  so  that  objects  may  be  seen  through  it. 
Tremor.  — An  involuntary  trembling. 

Ulceration.  — The  formation  of  an  ulcsr. 

Undigested.  — Not  digested. 

Urine.  — The  fluid  secreted  by  the  kidneys. 

Ureters.  — The  tubes  leading  from  the  kidneys  to  the  bladder. 

Urethra.  — The  passage  from  the  bladdei  by  which  the  urine  is  discharged 
Uterus.  — The  womb.  Os  Uteri.  — The  mouth  of  the  womb. 

Vesicle.  — A little  bladder  formed  on  the  skin. 

Vitreous  Humor.  — One  of  the  fluids  of  the  eye,  resembling  glass. 

Womb.  — That  organ  of  the  woman  which  conceives  ard  nourishes  the  offsp^g 


624 


OUR  FAMILY  PHYSICIAN. 


TABLE  OF  SYMPTOMS 

TO  FACILITATE  THE  DETECTION  OF  DISEASE. 


IN  giving  a u Table  of  Symptoms,”  it  has  not  been  thought 
necessary  or  desirable  to  give  all  the  symptoms  of  a disease  in 
its  various  stages,  but  only  the  more  prominent  ones  occurring  at 
the  commencement.  For  diseases  not  mentioned  in  the  table,  see 
“ Index.” 

EBUPTITE  DISEASES. 

Nettle  Rash.  —This  eruption  consists  of  elevated  spots  on  the 
surface  of  the  skin,  attended  with  violent  burning,  or  tingling  and 
itching.  It  sometimes  appears  in  the  form  of  large  blotches. 

Page  18. 

Erysipelas . — The  attack  is  preceded  by  symptoms  of  fever,  as 
headache,  shivering  etc.,  followed  by  hot  skin,  quick  pulse,  pains 
in  back  and  limbs.  The  seat  of  inflammation  soon  begins  to  swell, 
and  becomes  red  or  purplish,  with  severe  tingling  burning  sensa- 
tion. Page  20. 

Measles.  — The  symptoms  at  first  are  similar  to  catarrh  or  cold 
m the  head,  such  as  chilliness,  running  of  the  nose,  eyes  red  and 
watery,  sneezing,  pain  and  soreness  in  the  throat  and  chest,  fever 
and  thirst.  The  eruption  generally  appears  on  the  fourth  day,  and 
looks  like  flea  bites.  The  skin  feels  rough  when  the  hand  is 
passed  over  it.  Page  25. 

Scarlet  Rash.  — The  eruption  is  preceded  by  chilliness,  heat, 
restlessness,  dryness  of  the  skin.  The  rash  appears  on  the  third 
or  fourth  day.  The  difference  between  Scarlet  Fever  and  Scarlet 
Rash  is  given  under  the  latter  disease.  Page  29. 

Scarlet  Fever.  — At  the  commencement  there  is  more  or  less 
fever,  with  shivering,  lassitude,  headache.  The  person  will  com- 
plain of  soreness  of  the  throat,  and  on  examination  it  will  be  found 
red  and  shining.  The  rash  makes  its  appearance  in  two  days,  first 
on  the  face  and  neck ; the  redness  disappears  on  making  pressure 
with  the  finger.  The  difference  between  Scarlet  Fever  and 
Measles  is  <nven  under  the  latter  disease.  Page  30. 


TABLE  OF  SYMPTOMS. 


525 


Chicken  Pox.  — Sometimes  at  first  there  will  be  symptoms  of 
fever  ; this  however  is  not  always  the  case.  The  eruption  appears 
in  an  irregular  manner,  differing  in  this  from  small  pox,  which  ap- 
pears first  on  the  face.  Page  40. 

Small  Pox  . — This  disease  is  generally  preceded  by  a fever  last- 
ing three  or  four  days.  In  the  first  stage  the  severe  pains  in  the 
head  and  back  are  characteristic.  The  eruption  appears  about 
the  third  day,  in  the  form  of  small  bright  red  specks,  and  first  on 
the  face.  Page  42. 

FEVERS. 

Typhoid  Fever.  — This  fever  generally  comes  on  gradually.  The 
patient  may  complain  for  a long  time  of  weariness,  and  general 
uneasiness.  These  symptoms  having  continued  for  several  days  or 
weeks,  the  patient  will  be  seized  with  a chill,  followed  by  the  ordi- 
nary symptoms  of  fever.  There  will  be  pain  in  the  bowels  which 
is  increased  by  pressure  over  the  right  side.  Page  69. 

Inflammation  of  the  Brain.  — Generally  comes  on  gradually,  but 
sometimes  suddenly.  When  gradually,  the  patient  complains  for 
gome  time  of  uneasiness,  wakefulness,  dizziness,  poor  appetite, 
noises  in  the  head,  ringing  in-  the  ears,  frightful  dreams,  nausea, 
vomiting  etc.  As  the  disease  progresses,  he  has  more  or  less 
headache,  sometimes  exceedingly  severe,  and  violent  fever. 

Page  75. 

Remittent  or  Bilious  Fever.  — This  is  usually  preceded  by  weak- 
ness, lowness  of  spirits,  loss  of  appetite,  yawning  and  stretching, 
Hashes  of  heat  and  cold.  These  symptoms  continue  several  days, 
when  we  have  a well  marked  chill,  followed  by  heat.  Page  79. 

Intermittent  Fever.  — This  disease  is  characterized  by  paroxysms 
of  fever,  which  occur  at  regular  intervals.  The  paroxysm  consists 
of  three  stages  ; the  cold  stage,  the  hot  stage,  and  the  sweating 
stage.  The  cold  stage  is  preceded  by  languor,  uneasiness,  stretch- 
ing and  yawning,  pains  in  the  back,  head,  and  loins,  followed  by 

chilliness  which  soon  extends  over  the  whole  body.  Page  85. 

Yellow  Fever.  — This  disease  is  characterized  by  yellowness  of 
the  skin,  and  vomiting  of  a dark  fluid.  The  symptoms  at  first  are 
dizziness,  pains  in  the  back  and  limbs,  chills,  nausea,  headache, 
etc.  Page  93. 

AFFECTIONS  OF  THE  MIND. 

Hypochondria  — There  is  general  langour  and  listlessness,  and 
want  of  energy.  The  patient  continually  dwells  on  his  own  mis- 
fortune®. Page  9$. 


526 


OUR  FAMILY  PE  olOiAN. 


Hysterics.  — An  attack  is  generally  preceded  by  low  spirits,  and 
occurs  in  paroxysms.  There  will  be  a sensation  of  a ball  rising 
from  the  left  side  to  the  throat.  The  attack  is  more  likely  to  oc- 
cur about  the  period  of  menstruation.  Page  102. 

AFFECTIONS  OF  THE  HEAD. 

Apoplexy . — An  attack  sometimes  comes  on  suddenly,  although 
it  is  generally  preceded  by  certain  symptoms.  There  will  be  a 
constant  desire  to  sleep,  with  dull  pain  in  the  head  ; dizziness  and 
heaviness  of  the  head.  Page  109. 

AFFECTIONS  OF  THE  EYES. 

Inflammation  of  the  Eye-ball.  — The  eyes  are  red  and  swollen,  and 
there  is  a feeling  of  roughness  beneath  the  lids.  Page  133. 

Cataract.  — Objects  appear  indistinct,  and  there  is  a mist  con- 
stantly before  the  eyes.  A small  speck  soon  makes  its  appearance 
on  the  pupil.  Page  140. 

Blindness.  - — Signs  of  the  approach  of  blindness,  are  pains  in  the 
head,  dimness  and  weakness  of  sight;  sparks  and  motes  float  before 
the  eyes.  Page  141. 

AFFECTIONS  OF  THE  EARS. 

Inflammation  of  the  Ear.  — Violent  burning,  beating,  and  itching 
pains  in  the  ear,  with  redness  and  throbbing.  Page  147. 

Running  of  the  Ear.  — Fever,  headache,  and  intense  pain  in  the 
ear,  and  a discharge  of  reddish  watery  fluid,  soon  becoming  thick 
and  mattery.  Page  153. 

AFFECTIONS  OF  THE  NOSE. 

Cold  in  the  Head.  — Dull  pain  and  weight  in  the  forehead,  sneez- 
ing, dryness  and  fullness  of  the  nose,  redness  of  the  eyes. 

Page  156. 

Chronic  Catarrh.  — Severe  pains  in  the  head  and  eyes,  discharge 
of  mucus  from  the  nose,  loss  of  appetite.  Page  160. 

Cancer  of  the  Nose.  — Usually  commences  as  a hard  lump,  which 
ulcerates  and  becomes  intensely  painful.  Poge  163. 

AFFECTIONS  OF  THE  FACE,  LIPS  AND  JAWS. 

Locked  Jaw.  — The  first  symptoms  are,  stiffness  of  the  neck,  in- 
ability to  open  the  mouth  easily,  tightness  across  the  chest,  uneasy 
sensation  at  the  root  of  the  tongue,  etq.  Pogs  174 


TABLE  OF  SYMPTOMS. 


527 


AFFECTIONS  OF  THE  TEETH,  GUMS  AND  MOUTH. 

Inflammation  of  the  Tongue.  — Chills,  loss  of  appetite,  dull  pams 
in  back  and  head,  throbbing,  and  aching  pain  in  the  tongue. 

Page  185. 

Canker  of  the  Mouth.  — Pain  in  the  gums  ; mouth  hot  and  dry  ; 
gums  swollen,  spongy  and  bleeding,  ulcers  on  the  cheeks  and  gums. 

Page  186. 

Scurvy.  — Softening,  ulceration  and  bleeding  of  the  gums  ; the 
limbs  swell,  and  dark  spots  appear  on  the  body.  Page  189 

AFFECTIONS  OF  THE  THROAT. 

Quinsy. — Sore  Throat.  — This  generally  begins  with  high  fever, 
cough,  soreness  of  the  throat,  which  is  smooth  and  of  a shining 
redness,  swelling  of  the  glands  of  the  neck.  Page  194. 

Putrid  Sore  Throat.  — Commences  with  a chill,  followed  by  fever, 
languor,  redness  of  the  throat  and  tonsils,  acrid  discharge  from  the 
mouth.  Ulcers  soon  appear  in  the  throat  and  on  the  tonsils. 

Diphtheria.  — Generally  the  first  symptom  is  hoarseness,  with 
weakness  of  utterance,  fever,  headache,  followed  by  soreness  of 
the  throat,  and  difficulty  of  swallowing.  There  will  be  also  ach 
ing  of  the  bones,  weariness,  loss  of  appetite.  Page  201 

AFFECTIONS  OF  THE  WINDPIPE  AND  CHEST. 

Bronchitis.  — Commences  with  chilliness,  fever , cough,  pain  and 
soreness  at  the  upper  part  of  the  breast  bone,  oppression  of  the 
chest,  breathing  quick  and  irregular.  209. 

Influenza.  — At  first  the  same  symptoms  as  catarrh,  with  a sense 
of  weight  in  the  forehead,  difficulty  of  breathing,  sneezing,  dry- 
ness of  the  nose,  sore  throat,  chilliness.  Page  214. 

Inflammation  of  the  Lungs.  — Commences  with  chilliness,  follow- 
ed by  fever,  pain  in  one  side  of  the  chest,  difficulty  of  breathing, 
cough,  pain  sharp.  The  patient  cannot  lie  on  the  affected  side. 

Page  220. 

Pleurisy. — Begins  with  a chill,  followed  by  heat,  thirst,  and 
other  symptoms  of  fever.  Y\re  soon  have  a sharp,  stabbing  pain 
in  the  chest,  which  is  aggravated  by  taking  a full  breath.  The 
breathing  is  hurried  and  difficult,  with  dry,  hacking  cough. 

Page  226. 

Inflammation  of  the  Heart.  — Commences  with  the  symptoms  of 
fever,  as  chilliness,  heat,  thirst,  etc.  These  are  followed  by  rapid 


528 


OUR  FAMILY  PHYSICIAN. 


and  difficult  breathing,  with  sharp  pain  in  the  region  of  the  heart. 
The  pain  is  increased  by  motion.  The  heart  beats  violently. 

Page  230. 

Neuralgia  of  the  Heart.  — The  pain  shoots  from  the  chest  through 
the  back  and  into  the  left  shoulder.  Great  anxiety,  violent  beat- 
ing of  the  heart.  Page  230. 

Bleeding  from  the  Lungs.  — Preceded  by  a sense  of  weight  on  the 
chest,  with  difficult  breathing;  heat  or  pricking  beneath  the  breast 
bone  ; saltish  taste  in  the  mouth.  Page  236. 

Asthma.  — There  is  generally  at  first  a sense  of  fullness  about 
the  stomach  with  headache  and  weakness.  A tightness  across 
the  chest,  with  difficult  breathing,  accompanied  with  a wheezing 
noise.  Page  239. 

Dropsy  of  the  Oldest.  — Great  difficulty  of  breathing,  increased  by 
exertion,  and  by  lying  down  ; sensation  of  weight  on  the  chest. 
Countenance  pale,  short  dry  cough,  palpitation  of  the  heart. 

Page  243. 

Consumption.  — General  symptoms  are  cough,  pain  in  the  chest, 
fever,  heat  of  the  hands,  feet  and  cheeks  ; weakness  of  the  voice, 
crooked  or  bent  nails,  etc.  Page  245. 

AFFECTIONS  OF  THE  STOMACH  AND  BOWELS. 

Dyspepsia.  — A sense  of  distension  of  the  stomach,  belching  of 
wind,  loss  of  appetite,  low  spirits,  tongue  coated,  or  pale  and 
flabby.  Page  253. 

Neuralgia  of  the  Stomach.  — Pain  similar  to  heartburn  ; the  pain 
occurs  irregularly,  and  is  sometimes  relieved  by  pressure. 

Page  267. 

Stomach  Ache , Colic.  — A peculiar  twisting,  racking  pain  behind 
the  navel,  relieved  by  pressure  ; belly  hard,  and  drawn  up  into 
lumps.  Page  270. 

Inflammation  of  the  Stomach.  — Burning  pain  in  the  stomach  with 
thirst,  nausea  and  vomiting,  desire  for  cold  drinks,  prostration  of 
strength,  pain  increased  by  pressure.  Page  279. 

Inflammation  of  the  Bowels.  — Commences  with  a chill,  followed 
oy  fever,  thirst,  hot  skin,  and  pain  of  a griping  character  in  the 
bowels  ; the  pain  is  increased  on  pressure,  and  sometimes  comes  in 
paroxysms.  Page  283. 

Inflammation  of  the  Liver.  — Begins  with  symptoms  of  fevor,  with 
& sensation  of  pricking  in  the  right  side,  and  pain  in  the  region  of 


TABLE  OF  SYMPTOMS. 


529 


the  liver,  either  acute  or  dull.  The  pain  sometim  shoots  up  to 
the  right  shoulder.  Page  286. 

Inflammation  of  the  Spleen.  — Commences  .tn  the  common  symp- 
toms of  fever,  with  pain  in  the  left  side  in  me  region  of  the  spleen, 
with  tenderness  on  pressure.  Pain  dull,  or  cutting.  Page  292 

Worms.  — The  symptoms  are  paleness,  itching  of  the  nose,  grind- 
ing of  the  teeth  during  sleep,  starting  from  sleep,  swollen  belly, 
irregular  appetite.  Page  293. 

Diarrhoea.  — Frequent  discharges  from  the  bowels,  with  a sense 
of  weight,  and  more  or  less  griping.  Page  299. 

Dysentery.  — Loss  of  appetite,  with  constipation  or  diarrhoea, 
followed  by  passages  of  mucus  streaked  with  blood.  Page  304. 

Cholera  Morbus. — Generally  comes  on  suddenly,  with  vomiting 
and  purging,  accompanied  with  severe  griping  pains  in  the  bowels 
and  stomach.  The  discharges  consist  at  first  of  the  contents  of 
the  bowels,  followed  by  watery,  bilious  matter.  Page  308. 

Asiatic  Cholera.  — The  first  stage  is  preceded  by  derangement  of 
the  digestive  organs,  rumbling  of  the  bowels,  pains  in  different 
parts  of  the  body  ; thirst  and  a slight  diarrhoea.  These  symptoms 
are  followed  by  vomiting  and  purging  of  a thin,  colorless  fluid, 
like  rice  water  ; and  violent  cramps.  Page  310. 

Piles.  — An  attack  is  preceded  by  a sense  of  weight  in  the 
lower  part  of  the  abdomen,  with  a painful  itching  about  the  anus. 

Page  315. 

Dropsy  of  the  Abdomen.  — Enlargement  of  the  belly,  with  a 
flench  'T  weight,  loss  of  appetite,  constipation  etc.  Page  320 

AFFECTIONS  OF  THE  URINARY  AND  GENITAL  ORGANS. 

Inflammation  of  the  Kidneys.  — Preceded  by  the  usual  symptoms 
of  fever,  followed  by  deep  seated  pains  in  the  loins  extending  to 
the  bladder,  which  are  aggravated  by  motion  and  pressure. 

Page  323. 

Inflammation  of  the  Bladder.  — Burning,  piercing  pain  in  the 
region  of  the  bladder,  which  extends  down  between  the  legs,  and 
to  the  testicles  and  thighs.  Page  326. 

Chronic  Inflammation  of  the  Bladder.  — Slight  pain,  with  a feel 
ing  of  heat  in  the  bladder,  and  frequent  desire  to  pass  water ; mu- 
cus in  the  urine.  Page  326 

34 


530 


OUR  FAMILY  PHYSICIAN. 


Diabetes.  — Voracious  appetite,  great  thirst,  gums  swollen  and 
inflamed,  dry  mouth,  wasting  of  flesh.  Page  330. 

Stone  in  the  Bladder.  — Sudden  pain  in  the  region  of  the  kidneys, 
which  runs  down  the  thigh,  frequent  desire  to  urinate,  pain  in  the 
end  of  the  penis.  Page  331. 


DISEASES  OF  WOMEN. 

Delayed  and  Obstructed  Menstruation.  — Headache,  fullness  and 
throbbing  in  the  centre  of  the  head,  pains  in  the  back  and  loins, 
cold  feet  and  hands.  Page  349. 

Chlorosis  or  Green  Sickness . — General  lassitude,  yellowish  green 
color  of  the  skin,  paleness  of  the  lips,  skin  cold,  weakness,  poor 
appetite.  Page  351. 

Profuse  Menstruation.  — Weakness  and  pain  in  the  back,  extend- 
ing to  the  hips,  headache,  with  throbbing  of  the  temples. 

Page  356. 

Difficult  Menstruation.  — Severe  bearing  down  pains  in  the  re- 
gion of  the  womb,  aching  in  the  small  of  the  back,  and  thighs. 

Page  359. 

Suppression  of  the  Menses. — Headache,  fever,  hot  skin,  thirst, 
quick  pulse,  fullness  and  throbbing  in  the  center  and  back  part  of 
the  head,  pains  in  back.  Page  361. 

Falling  of  the  Womb.  — Bearing  down  pain,  or  dragging  sensa- 
tion in  the  lower  part  of  abdomen;  with  pain  in  the  small  of  the 
back.  Pains  aggravated  by  exercise,  or  standing  long  on  the  feet. 

Page  367. 

Leucorrtioea.  — Heat  and  soreness  of  the  private  parts,  with  heavi- 
ness, bearing  down  pain,  and  a discharge.  Page  370. 

Broken  Breast.  — Commences  with  a chill,  followed  by  fever,  and 
darting  pains  in  breast.  The  breast  swells,  and  becomes  hard  and 
knotted.  Page  407. 

Childbed  Fever.  — This  is  preceded  by  the  symptoms  of  fever,  as 
chilliness,  heat  of  the  skin,  with  pain  in  the  belly  increased  by 
pressure  ; the  belly  becomes  swollen,  and  exceedingly  tender. 

Page  409. 

Milk  Leg.  — Pain  in  the  lower  part  of  the  bowels,  extending  to 
the  hips.  The  leg  begins  to  swell,  commencing  at  the  groin,  and 
extending  downward.  Page  411. 


TABLE  OF  SYMPTOMS. 


531 


DISEASES  OF  INFANTS. 

Convulsions  of  Infants.  — The  eyes  at  first  are  fixed,  the  muscles 
of  the  face  contract,  and  sometimes  there  is  foaming  at  the  mouth. 
The  whole  body  is  sometimes  convulsed.  Page  422. 

Thrush.  — Redness  of  tongue  and  gums,  and  dryness  of  the 
mouth.  Whitish  spots  soon  appear  and  cover  the  entire  mouth. 

Page  428. 

Dropsy  of  the  Brain. — Drowsiness  and  sleepiness;  the  patient 
puts  his  hand  to  his  head  and  shows  evident  signs  of  distress. 
The  head  is  hot,  and  breathing  difficult.  Page  431. 

Remittent  Fever  of  Infants.  — Commences  with  languor,  and  irri- 
tability ; the  lips  are  dry.  These  symptoms  are  followed  by  fever, 
coated  tongue,  cold  extremities,  etc.  Page  433. 

Cholera  Infantum.  — The  attack  may  be  sudden,  with  violent 
vomiting  and  purging,  or  may  be  preceded  by  a slight  diarrhoea. 
Everything  is  vomited,  and  the  stools  are  streaked  with  green,  or 
yellowish  and  watery.  Page  435. 

Croup.  — Generally  commences  with  symptoms  of  catarrh,  with 
dry  cough,  hot  skin,  quick  pulse,  rattling  in  the  throat,  hoarseness. 
When  the  child  is  attacked,  the  cough  is  hoarse  and  ringing,  the 
breathing  hurried,  face  flushed,  etc.  Page  439. 

Whooping  Cough . — This  is  characterized  by  a convulsive  par- 
oxysm of  coughing,  attended  with  hissing  breathing.  It  begins 
with  symptoms  of  catarrh.  Page  443. 

Mumps.  — Commences  with  fever,  and  symptoms  of  catarrh. 
The  neck  becomes  stiff,  and  painful.  A swelling  soon  appears  at 
the  angle  of  the  lower  jaw.  Page  447. 

Miscellaneous  Diseases. 

Rheumatism.  — This  is  generally  preceded  by  languor,  chilliness, 
heat,  and  profuse  sweat  which  has  a sour  smell  ; these  symptoms 
are  followed  by  stiffness  of  the  muscles,  with  severe  pains  in  the 
different  joints.  Page  449 

Gout.  — Sometimes  comes  on  suddenlv,  but  is  generally  preceded 
b7  symptoms  of  dyspepsia,  headache,  nausea,  numbness  in  the 
limbs,  and  a burning  pain  in  the  ball  of  the  great  toe.  Page  454. 


532 


OUR  FAMILY  PHYSICIAN. 


Hip  Disease.  — Fullness  in  the  groin,  pain  worse  when  the  limb 
hangs  down.  Page  456. 

Paralysis.  — An  attack  generally  comes  on  suddenly  ; some- 
times there  is  coldness  with  numbness  of  the  parts.  Page  460. 

Epilepsy.  — The  attack  is  generally  sudden,  and  the  patient  falls 

with  a loud  cry,  and  becomes  senseless,  foams  at  the  mouth,  breathes 
violently.  Page  464. 

Scrofula.  — The  first  symptom  is  generally  an  enlargement  of 
the  glands,  especially  those  of  the  neck.  These  swellings  con- 
tinue for  a long  time  without  becoming  sore,  or  occasioning  any 
inconvenience.  In  the  course  of  six  months  or  a year,  they  may 
become  as  large  as  a hen’s  egg.  In  time  they  come  to  a head  and 
break,  becoming  painful  and  inflamed,  and  discharge  a thin  fluid, 
watery,  or  mixed  like  whey  and  curd.  This  matter  is  sometimes 
discharged  from  several  openings.  When  these  ulcers  heal,  they 
leave  unsightly  scars,  and  are  apt  to  be  followed  by  other  tumors. 
Sometimes  scrofula  affects  the  bones,  or  the  eyes.  A white  deli- 
cate skin,  light  hair,  thick  lips,  and  a delicate  constitution,  indi- 
cate scrofula.  * Page  533. 


SUPPLEMENT. 


Scrofula,  (King's  Evil.) 

THE  name  Scrofula  is  derived  from  scrofa , a hog,  because  the 
disease  is  peculiar  to  this  animal. 

The  scrofulous  taint  manifests  itself  in  many  diseases,  as  con- 
sumption, hip  disease,  goitre,  white  swelling,  etc.  As  generally 
understood,  it  is  applied  to  an  enlargement  of  the  glands  of  the 
neck,  or  other  parts  of  the  body. 

Symptoms.  — See  Table  of  Symptoms,  page  532. 

Causes . — The  disease  is  generally  inherited,  but  it  may  be 
excited  by  various  causes,  such  as,  living  in  damp  and  ill  ventilated 
places,  insufficient  food,  filthy  habits,  excessive  use  of  pork,  want 
of  exercise,  measles,  scarlet  fever,  small  pox,  etc. 

GENERAL  TREATMENT. 

The  patient  should  indulge  in  sea  bathing,  breathe  the  sea  air, 
take  plenty  of  exercise,  and  eat  nutritious  food. 

HOMEOPATHIC. 

The  principal  remedies  are,  Sulphur,  Mercury,  Iodine,  Hepar 
Sulphur,  Baryta,  Conium,  Belladonna,  Lycopodium,  Sepia,  Cal- 
carea,  Rhus  Tox,  Aurum,  China. 

Sulphur.  — Ulcers  on  different  parts  of  the  body  ; discharges 
from  the  ears  ; chronic  enlargement  of  the  tonsils  ; swelling  of 
the  glands  of  the  lower  jaw,  arm-pit,  groin,  and  neck  ; cough,  with 
sticking  pains  in  the  chest  ; want  of  vitality,  and  sensitiveness 
to  cold. 

Iodine.  — Dizziness  in  the  morning  ; buzzing  in  the  ears  ; smart- 
ing in  the  eyes  ; ravenous  hunger  ; heartburn  ; salivation ; swell- 
ing of  the  neck  ; numbness  of  the  fingers  ; night  sweat. 

Rhus  Tox.  — Soft  tubercles  on  the  scalp  ; inflammation  of  the 
eyes,  with  an  eruption  about  them  ; chronic  swelling  of  t!  e glands  ; 
dry,  scurfy  eruptions  on  different  parts  of  the  body;  stiffness  and 
lameness  of  the  limbs. 


* The  description  of  this  disease  was  accidentally  omitted  in  its  proper  place. 


534 


OUR  FAMILY  PHYSICIAN. 


Belladonna.  — Swelling  of  the  glands  with  suppuration  ; inflam- 
mation and  swelling  of  the  bones  ; pain  in  the  ball  of  the  eye, 
with  heat  and  redness  ; roaring  in  the  ears ; painful  ulcers  on  the 
skin. 

Calcarea.  — Suitable  in  those  cases  where  the  menses  appear  too 
early,  or  are  too  profuse.  It  is  valuable  in  children  who  have  the 
appearance  of  scrofula.  Cod  Liver  oil  is  another  valuable  remedy. 

Administration  of  Remedies.  — Of  the  remedy  chosen,  take  a 
dose  (four  globules)  every  night.  Continue  each  remedy  as  long 
as  there  is  improvement. 

ALLOPATHIC. 

The  following  is  highly  recommended  : Iodine,  six  drachms ; 
Iodide  of  Potassium,  a troy  ounce  and  a half ; distilled  water,  one 
pint  ; dissolve.  Dose,  five  or  six  drops  in  water,  twice  a day. 

If  there  is  considerable  debility,  the  Iodide  of  Iron  in  doses  of 
twenty-five  drops  in  water,  three  times  a day,  is  an  excellent 
remedy. 

Before  the  tumors  are  sore,  bathe  them  several  times  a day  with 
a solution  of  muriate  of  lime,  in  the  proportion  of  two  drachms  to 
the  ounce  of  water.  If  they  are  inflamed,  apply  poultices  of 
powdered  slippery  elm,  and  bayberry,  equal  parts,  or  flax  seed,  or 
bread  and  milk. 

Iodide  of  Ammonium,  in  doses  of  three  grains,  two  or  three 
times  a day,  is  recommended. 

ECLECTIC  AND  HERBAL. 

The  tincture  of  Iodine,  in  doses  of  twenty  drops  twice  a day,  in 
a teacupful  of  a decoction  of  Sarsaparilla  or  marshmallow  root,  is 
recommended.  The  principal  remedies  are  the  compound  syrup  of 
yellow  dock,  and  the  compound  syrup  of  stillingia.  It  is  a good 
plan  to  use  one  syrup  for  a few  wTeeks,  and  then  change  to  the 
other,  and  so  on  alternately. 

1 f the  tumors  are  sore,  use  the  following  : Muriate  of  ammonia, 
two  drachms  ; distilled  water,  one  ounce  ; dissolve  the  ammonia  in 
the  water,  and  add  tincture  of  conium,  one  ounce.  Apply  to  the 
tumor  on  a piece  of  cotton  or  lint,  and  keep  it  constantly  moistened 
with  the  lotion.  The  compound  plaster  of  Belladonna,  is  also 
highly  recommended. 

When  ulcers  or  abscesses  form,  they  should  be  syringed  out 
daily  with  a mixture  of  castile  soap  suds,  spirits,  and  water,  fol- 
lowed by  a solution  of  vegetable  caustic.  The  ointment  of  bay- 
berry,  or  red  oxide  of  lead  plaster,  spread  on  lint,  may  be  used 
after  this.  If  there  is  considerable  inflammation,  apply  at  night, 
a poultice  of  slippery  elm,  and  bayberry  barks. 


GENERAL  INDEX 


A PAGES. 

Abortion 300 

Abscess  of  the  Gums 184 

Acetate  of  Lead  Ointment 4&>- 

Aconite  Liniment 492 

Aconite  Tincture 495 

Acne  Simplex 167 

Acne  Rosacea 167 

Acne  Pustuiosa 167 

A flections  of  the  Mind 99 

do.  do.  Head 106 

do.  do.  Eyes 130 

do.  do.  Nose 151 

do.  do.  Face,  Lips  and 

Jaws 166 

do.  do.  Throat 194 

do.  do.  Windpipe  and 

Chest 208 

do.  do.  Stomach  and  Bow- 
els  253 

do  do.  Urinary  and  Geni- 
tal Organs 323 

After  Pains 399 

Ague  and  Fever 85 

Amblyopia 140 

Amaurosis 140 

do.  and  Cataract,  Difference 

between 141 

Amenorrhoea 361 

Angina  Faucium 194 

do.  Gangrenosa 198 

do.  Pectoris 233 

Anorexia ...  . 253 


PAGES 

Anthrax 515 

Apparent  Death  of  New  Born  Infants!  16 
Apparent  Death  from  Hunger 4G3 


do. 

do. 

do. 

Drowning 469 

do. 

do. 

do. 

Freezing 470 

do. 

do. 

do. 

Hanging 470 

do. 

do. 

do. 

Lightning 470 

do. 

do. 

do. 

Noxious  Va- 
pors   470 

do. 

do. 

do. 

Falls,  Blows. 471 

do. 

do. 

do. 

Violent  Men- 

tal  Emotions.471 

Apoplexy 109 

Aphonia .* 208 

Appetite,  want  of 253 

Appetite,  Morbid  or  Diseased 253 

Aphthae 428 

Apple  water 478 

Arnica  Tincture 497 

Arrow  Root  Gruel 478 

Ascites 320 

Asthma 239 

Asphyxia 416 

B 

Bad  Taste  in  the  Mouth 183 

Bandages 4S9 

do.  Wet 4S9 

Barley  Coffee 475 

Bathing,  general  rules  for 489 

Bath,  Towel  or  Sponge 4*1 

do.  Shower 481 


53G 


OUR  FAMILY  PHYSICIAN. 


PAGES. 

Bath,  Wash  Tub 482 

do.  Rubbing  or  dripping 482 

do.  Pail  Douche 483 

do.  Vapor 485 

do.  Hip  or  Sitz 486 

do.  Shallow 487 

do.  Plunge 487 

do.  Foot 488 

do.  Head 488 

do.  Eye  and  Ear 488 

do.  Nose 488 

do.  Leg  and  Arm 488 

Beef  Tea 475 

Belladonna  Ointment 493 

do.  Plaster 494 

Bilious  or  Remittent  Fever 79 

Blindness . 140 

Bleeding  of  the  Nose 155 

Bleeding  of  the  Lungs 236 

Bloody  Flux 304 

Bladder,  inflammation  of  the.. 326 

Black  Cohosh,  compound  tincture  of 496 

Bladder,  stone  in  the 331 

Blood  with  the  U rine ...  .332 

Bowels,  inflammation  of  the 283 

Bowel,  falling  of  the 317 

^oils 515 

Boiled  flour 478 

Brain  fever 75 

Breath,  offensive 182 

Bronchitis 209 

Breast  Pang 233 

Breast,  preparation  of  the 395 

Breast,  broken 407 

Brain,  dropsy  of  the .431 

Broth,  mutton 479 

Broth,  Chickei  ...  ...  v79 

Bruises 513 

Burns  and  scalds 514 

Bulemy 253 

C 

Camphor,  compound  tincture  of 496 

do.  tincture  of 497 

Carbuncle 515 

Carrot  poultice 498 

Catarrh 156 

Catarrh,  chronic 160 


PAGES. 


Catarrh,  headache  from 114 

Cataract 140 

Cataract  and  Amaurosis,  difference 

between ’.  ...141 

Camphor  mixture 493 

do.  ice 491 

do.  liniment 492 

do.  do.  compound 492 

Cancer  163 

Canker  of  the  Mouth <_..186 

Cantharides  tincture 495 

Caries 181 

Calculus 331 

Calves’  feet  jelly 479 

Cerate,  calamine 491 

do.  resin 491 

do.  simple 491 

Charcoal  poultice 498 

Chicken  Pox 40 

do.  and  Small  Pox,  difference 

between 41 

Chilblains 50 

Chest,  dropsy  of  the 243 

Chlorosis 351 

Change  of  Life 364 

Child-bed  fever 409 

Chicken  Panada 480 

Chicken  broth 479 

Cholera  Morbus 308 

do.  Asiatic 310 

do.  Infantum 435 

Chronic  Inflammation  of  the  Eyes.. 136 
do.  do.  do.  do., 

from  Scrofula 137 

Chorea 466 

Clap 339 

Clothing  of  Iriaris  4K 

Corns 62 

Cold  Cream 494 

Colcliicum,  compound  tincture  of.  .496 

Common  or  Ephemeral  Fever 65 

Compound  Powder  of  Aloes  aud 

Cannella 495 

Compound  Powder  of  Rhubarb 495 

do.  do.  do  and 

Potassa 495 

Congestion  of  Blood  to  the  Head. . .103 
Cough  Drops 493 


GENERAL  INDEX. 


537 


PAGES. 

Coup-de  Soliel 113 

Cold  in  the.  Head 156 

Colic,  griping 270 

do.  bilious .,...271 

do.  painters 271 

do.  menstrual 359 

do.  of  infants 445 

Compound  Mixture  of  Blood  root.. 493 

Consumption 245 

Contusion  of  the  Chest 252 

Constipation  297 

do.  during  pregnancy 383 

do.  after  confinement 409 

Confinement 396 

do.  duration  of 401 

do.  diet  and  regimen  during. 401 

Convulsions 422 

Coryza 156 

Cough 217 

do.  whooping 443 

Costiveness 297 

Coxalgia 456 

Cramps 458 

Croup 439 

do.  simple 439 

do.  membraneous 439 

Crusta  lactea 58 

Currant  Jelly 477 

Cy n anche  Trachealis 439 

Cystitis 326 

D 

Dandruff 53 

Decay  of  the  Teeth 181 

Decoctions 491 

Determination  of  Blood  to  the  Head  106 

Deafness 151 

Delayed  and  Obstructed  Menstrua- 
tion   349 

Delivery 397 

do.  treatment  after 398 

Delirium  Tremens 462 

Dentition 426 

Derbyshire  neck 459 

Diarrhoea 299 

do.  during  pregnancy 385 

do.  after  confinement 409 

Diabetes 330 


pages. 

Difficulty  of  Speech 19? 

Diphtheria 201 

Diseases  of  the  skin 17 

do.  do.  teeth,  gums  and 

mouth 178 

Dislocation,  simple 507 

do.  compound 507 

do.  of  the  jaw. 507 

do.  do.  collar  bone  or 

clavicle 507 

do.  do.  shoulder 508 

do.  do.  elbow 509 

do.  do.  wrist 509 

do.  do.  fingers 510 

do.  do.  hip 510 

do.  do.  knee  pan  or  pa- 
tella  511 

do.  do.  knee  joint 511 

do.  do.  ankle  joint 512 

Disorders  of  menstruation 349 

Dizziness 107 

Doses,  table  of. 497 

Dropsy  of  the  brain 431 

do.  do.  chest 243 

do.  do.  abdomen 320 

Dressing  the  navel 399 

Dyspepsia 253 

do.  during  pregnancy 3S6 

Dysentery 304 

Dysmenorrhoea 359 

E 

Earache 149 

Ears,  humming  and  buzzing  in  the.. 150 

do.  running  of  the 153 

do.  piercing  of  the 154 

do.  foreign  substances  in  the 154 

Eczema 53 

Edematous  erysipelas 21 

Egg  brandy 476 

do.  nog 476 

Emprosthotonos , 174 

Enteralgia 270 

Enteritis 283 

Enuresis 329 

Epilepsy 462 

Epis  taxis 155 

Eruptive  fevers 17 


538 


OUR  FAMILY  PHYSICIAN, 


PAGES. 

Erysipelas 20 

do.  phlegmonous 21 

do.  edematous 21 

do.  of  the  face  and  lips 166 

Eruptions  on  the  face 167 

Erythema 21 

Essences 491 

Eyelids,  inflammation  of  the 131 

do.  do.  do.  margins 

of  the..  131 

do.  stye  on  the 139 

Eyeballs,  inflammation  of  the 133 

Eyes,  chronic  inflammation  of  the. . .136 
do.  do.  do.  from  scrof- 
ula  137 

do.  weeping  or  watery 139 

do.  foreign  subtances  in  the 146 

Excoriation  and  rawness  of  the  skin 

of  infants 421 

F 

Face  ache 169 

Face  and  jaws,  paralysis  of  the 174 

Face,  eruptions  on  the 167 

Fainting 467 

Falling  of  the  bowel 317 

do.  do.  womb 367 

do.  off  of  the  hair 129 

do.  of  the  eyelid 131 

False  pains  during  pregnancy 394 

Far  sightedness 144 

Favus 60 

Felon 516 

Ferunculus 515 

Fevers,  eruptive 17 

do.  scarlet 30 

do.  common  or  ephemeral 65 

do.  general  inflammatory 66 

do.  nervous  or  typhoid 69 

do.  remittent  or  bilious 79 

do.  intermittent 85 

do.  and  ague 85 

do,  yellow 93 

do.  lung 220 

do.  milk 404 

do.  childbed 409 

do.  refreshing  drink  for 476 

do.  cooling  drink  for 477 


PAGBS. 


Fits 422 

Fire,  St.  Anthony’s 20 

Flax  seed  poultice 499 

Flesh  worms 169 

Fluor  albus 370 

Flooding  after  delivery 400 

Flax  seed  tea 475 

Fomentations,  arnica 499 

do.  callendula 499 

do.  urtica  urpns 499 

do.  hops 499 

Foreign  substances  in  the  eye .146 

do.  do.  do.  ear 154 

do.  do.  do.  nose 165 

do.  do.  do.  windpipe.252 

Fomentations 492 

Fracture,  simple 500 

do.  compound 5^0 

do.  symptoms  of 501 

do.  of  the  nose 501 

do.  of  the  lower  jaw 502 

do.  do.  ribs 502 

do.  do.  collarbone 503 

do.  do.  shoulder  blade 503 

do.  do.  upper  arm  or  hum- 
erus   503 

do.  do.  elbow 504 

do.  do.  fore  arm 504 

do.  do.  fingers 504 

do.  do.  thigh  or  femur 505 

leg  do.  leg 505 

do.  do.  foot 506 

do.  compound 506 

Freckles 173 

Frozen  limbs 514 

a 

Galbanum  plaster,  compound 494 

Gastralgia 267 

Gastritis 279 

Glossary 519 

Glossitis 185 

Gleet 339 

Goitre 459 

Gout * 454 

Gonorrhoea 339 

Gravel  331 

Green  sickness 351 


GENERAL  INDEX 


539 


PAGES. 

Gruel 475 

do.  rice..., 477 

do.  water 477 

do.  sago 477 

do.  arrowroot 478 

Gums,  abscess  of  the 184 

Gum  boils 184 

Gum  arabic  mixture 477 

H 

Haemoptysis 236 

Haematuria 332 

Hair,  falling  off  of  the 129 

do . oils  and  tonics 129-130 

Hardness  of  hearing 151 

Head,  congestion  or  determination 

of  blood  to  the 106 

do.  ache  from  catarrh 114 

do.  do.  congestion  of 

blood 116 

do.  do.  rheumatism 118 

do,  do.  constipation  and 

gastric  derangm’t.119 

do.  sick 122 

do.  nervous 125 

Heart,  inflammation  of  the 230 

do.  palpitation  of  the 232 

do.  neuralgia  of  the 233 

do.  burn 253 

Hepatitis 286 

Hemorrhoid 315 

nernia 319 

Herpes 53 

do.  circinnatus 52 

nicra  picra 495 

Hip  disease 456 

Hives 18 

Hoarseness 208 

Hot  drops 496 

Humming  and  buzzing  in  the  ears.  .150 

Hydrothorax 243 

Hypochondria 99 

Hydrocephalus 431 

Hydropathic  treatment .410 

Hysteria 102 

Hysterics 102 

do.  during  pregnancy 387 

Ice  camphor 491 


I PAGES. 

Icterus 29C 

Incontinence  of  Urine 329 

Indigestion 253 

Inflammatory  Fever 66 

Inflammation  of  the  brain 75 

do.  do.  eyelids 131 

do.  do.  margins  of  the 

do.  do.  eyelids 131 

do.  do.  eyeballs 133 

do.  chronic,  of  the  eyes, 

from  scrofula 137 

do.  and  swelling  of  the 

nose. . . 155 

do.  do.  do.  of  the 

tongue . 185 

do.  of  the  windpipe 209 

do.  do.  lungs 220 

do.  do.  heart 230 

do.  do.  stomach 279 

do.  do.  bowels 283 

do.  do.  liver 286 

do.  do.  spleen 292 

do.  do.  kidneys 323 

do.  do.  bladder 326 

Infant,  clothing  of 415 

do.  apparent  death  of  new  born. 416 

do.  diet  of  new  born 416 

do.  swelling  and  elongation  of 

the  head  of  new  born 417 

do.  swelling  of  the  breasts  of 

new  born 417 

do.  supplementary  diet  of 418 

do.  restlessness  and  sleeplessness 

of 421 

do.  excoriation  and  rawness  of 

skin  of 421 

do.  jaundice  of 422 

do.  remittent  fever  of 433 

do.  colic  of 445 

Infusions 492 

Influenza 214 

In-growing  toe-nail 516 

Injections 4*9 

Insanity 105 

Intermittent  fever 85 

Irritation  of  the  skin 49 

Irish  moss  jelly 478 

Ischuria 337 


OTJR  FAMILY  PHYSICIAN, 


PAGES. 

Isinglass  jelly 478 

Itching 49 

do.  of  the  private  parts  during 

pregnancy 380 

Itch 57 


J 

Jaw,  locked 174 

Jaundice 290 

do.  of  infants 422 

Jelly,  currant 477 

do.  calves’  feet 479 

do.  Irishmoss 478 

do.  isinglass 478 

K 

Kidneys,  inflammation  of  the 323 

L 

Labor 396 

Laudanum 492 

Lead  plaster 494 

Labor  pains 397 

Liniment,  camphorated  soap 493 

do.  aconite 492 

do.  camphor 492 

do.  compound  camphor 492 

do.  opodeldoc 493 

Light,  temperature  and  ventilation 

during  confinement 399 

Leucorrhoea 370 

Liver,  inflammation  of  the 286 

do.  complaint 286 

Lobelia  tincture 495 

do.  compound  tincture  of. . . . .496 

do.  poultice 499 

Lochia 402 

do.  suppression  of  the  . . . ; 402 

do.  excessive  or  protracted 403 

Lock  jaw 174 

Lungs,  inflammation  of  the 220 

Lung  fever 220 

Lungs , bleeding  from  the  236 


PAGES. 


Mastitis 407 

Masturbation 333 

Measure,  dry 497 

do.  fluid 497 

do.  domestic  or  approximate.  .497 

Measles 25 

do.  and  scarlet  fever,  difference 

between 25 

do.  preventive  against 28 

Meconium,  the 417 

Melancholia 105 

Melancholy 105 

Menorrhagia 356 

Menstruation 344 

do.  disorders  of 349 

do.  delayed  and  obstructed  349 

do.  profuse 856 

do.  painful 359 

Menstrual  colic 359 

Menses,  suppression  of  the ...361 

do.  cessation  of  the 364 

Mental  emotions  affecting  the  milk.. 418 

Milk  crust 58 

do.  fever 404 

do.  suppression  of  the 405 

do.  excessive  secretion  of  the 405 

do.  leg.. 411 

do.  punch 476 

do.  porridge 478 

do.  do.  French 480 

Miscarriage 390 

Mixture,  camphor 493 

do.  blood  root,  compound 493 

Morning  sickness 378 

Morbid  or  diseased  appetite 253 

Mouth,  canker  of  the 486 

Mumps 447 

Mucilage  of  elm  bark 477 

Mustard  poultice 498 

Mutton  tea 478 

do.  broth 479 

Myopia 144 

Myrrh,  compound  tincture  of 496 


M 


Malignant  Quinsy 198 

Mania 105 

do.  a pot  a 462 


N 


Nausea .265 

Navel,  dressing  the 899 

| Nephritis.... 323 


GENERAL  INDEX. 


541 


PAGES. 

Nervous  or  typhoid  fever 69 

do.  headache 125 

Nervons  and  General  Debility 322 

Nettle  rash 18 

Neuralgia 169 

do.  of  the  heart 233 

do.  do.  stomach 267 

clo.  do.  head 125 

Nipples,  sore 406 

Nose,  inflammation  and  swelling  of 

the  15d 

do.  bleeding  of  the 155 

do.  polypus  of  the 162 

do.  foreign  substances  in  the 1(35 

Nursing,  sore  mouth 413 

do.  the  sick 472 

O 

Oatmeal  coffee 476 

Odontalgia 178 

Offensive  breath.. 182 

Ointment  of  acetate  of  lead 498 

do.  do.  oxide  of  Zinc 493 

do.  do.  belladonna 493 

do.  do.  rose  water 493 

do.  do.  wood  soot 494 

do.  tar 494 

do.  Compound  sulphur 494 

Onanism 333 

Ophthalmia 133 

Opisthotonos 175 

Opodeldoc  liniment 493 

Otalgia 149 

Otorrhcea 153 

Oxide  of  zinc  ointment 493 

Ozoena  narium 160 

P 

Pail  douche 483 

Packing,  wet  sheet 483 

Pack  sweating 4S5 

Painful  menstruation 359 

Palpitation  of  the  heart 232 

Palate,  swelling  and  elongation  of 

the 201 

Palsy 460 

Panada 477 

Parotitis 447 


PAGES. 

Paralysis 460 

do.  of  the  eyelid 131 

do.  do.  face  and  jaw 174 

Parturition 396 

Pemphigus 53 

Pertussis 443 

Pharmacy 491 

Phlegmonous  erysipelas 21 

Phlegmasia  alba  dolens 411 

Phthisis  pulmonalis 245 

Piercing  of  the  ear 154 

Piles 315 

do.  during  pregnancy 381 

Plasters 499 

do . belladonna 494 

do.  spiced 494 

do.  lead 494 

do.  compound  galbanum 494 

Pleurosthotonos 175 

Pleurisy 226 

do.  false 229 

Pleuritis 226 

Pneumonia 220 

do.  typhoid 220 

do.  in  old  people 226 

Poisons  and  their  antidotes 517 

Poke  root  poultice 499 

Polypus  of  the  nose 162 

Porridge,  French  milk 480 

Porridge,  milk 478 

Poultice,  charcoal 498 

do.  slippery  elm 499 

do.  lobelia 499 

do.  mustard 498 

do.  poke  root 499 

do.  carrot 498 

do.  bread  and  milk 499 

do.  yeast 499 

Powder  of  Aloes  and  Cannella,  com- 
pound   495 

do.  do.  Rhubarb, -compound 495 

do.  do.  do.  and  potassa,  com- 
pound  ....495 

do.  neutralizing 495 

do.  worm 495 

Pox 336 

do.  chicken 40 

do.  small , 4$ 


542 


OUR  FAMILY  PHYSICIAN 


PAGES. 

Pregnancy 375 

do.  signs  of ,...375 

do . preservation  of  health  dn  r- 

ing ; 377 

do.  diet  during 378 

do.  diseases  during 378 

do  itching  of  the  private  parts 

during 380 

do.  varicose  veins  during 381 

do.  piles  during 381 

do.  swelling  of  the  feet  and 

limbs  during 383 

do.  constipation  during 383 

do.  diarrhoea  during 383 

do.  salivation  during 386 

do.  toothache  during 386 

do.  dyspepsia 386 

do . hysterics  during 387 

do.  palpitation  of  the  heart 

during 387 

do.  headache  during 388 

do.  cough  during 389 

do.  cramps  during 389 

do.  incontinence  of  urine  dur- 
ing   390 

do.  difficult  urination  during.. 390 

do.  flooding  during 390 

do.  false  pains  during 394 

/reparation  of  the  breasts 395 

Preparation  of  food  for  sickness  and 

convalescence  473 

Presbyopia 144 

Preventive  against  measles 28 

do.  do.  scarlet  fever 34 

Prolapsus  uteri 367 

do.  ani 317 

Profuse  menstruation 356 

Pruritus 49 

Pruritus  vulvse 380 

Psora 57 

Ptosis 131 

Ptyalism 191 

Puerperal  peritonitis 409 

Pyrosis 253 

Q 

Quinsy 194 

do . mal  ignant . , 198 


PAGES. 

Quince  wine 477 

R 

Rash . . n 

do.  nettle 18 

do.  scarlet 29 

Raucitas 208 

Refreshing  drink  for  fevers 476 

Remittent  fever 79 

do.  do.  of  infants 433 

Restlessness  and  sleeplessness  of  in- 
fants  421 

Resin  cerate 491 

Retention  of  urine 327 

Rheumatism 449 

do.  headache  from 11S 

Rice  water 470 

Ring  worm 52 

Rose  water  ointment 493 

Rollers  and  bandages 500 

Rubeola 25 

Running  of  the  ears 153 

Rupture 319 

S 

Sage  tea 476 

Sago  gruel 477 

Salivation 191 

do.  during  pregnancy 386 

Scabies 37 

Scalds 514 

Scald  head 60 

Scarlet  fever 30 

do.  do.  preventive  against 34 

Scarletina 30 

do.  anginosa 31 

do.  simplex 31 

do.  maligna 32 

Scarlet  rash 29 

do.  do.  and  scarlet  fever,  differ- 
ence between 29 

do.  do.  and  measles,  difference,  26 

Scrofula 533 

Scurvy 1S9 

Scorbutus 189 

Sea  sickness 266 

Shingles 54 

Shortsightedness . . 144 


GENERAL  INDEX. 


543 


PAGES. 


Sick  headache 122 

Sight,  weakness  of 140 

Sick  room  the 472 

Sick,  nursing  the 472 

Sightedness,  far 144 

Sippets 4S0 

Skin,  diseases  of  the 17 

Sleeplessness 460 

Slippery  elm  poultice. . . 499 

Smallpox 42 

do.  do.  and  chicken  pcx,  differ- 
ence between 41 

Snuffles 427 

Sore  throat 194 

do.  do.  ulcerated  or  putrid 198 

Sour  stomach 453 

Spice  plaster 494 

Spleen,  inflammation  of  the 292 

Splints 500 

Splenitis 292 

Spasms 422 

Sprains 514 

Squinting 144 

Strabismus 144 

Stammering 192 

Stomacace 186 

Stitch  in  the  side 229 

Stomach,  neuralgia  of  the 267 

do.  ache 270 

do.  inflammation  of  the 279 

Stone  in  the  bladder 331 

St.  Vitus’  dance 466 

St.  Anthony’s  fire 20 

Sty  on  the  eyelid  139 

Sulphur  ointment  compound 494 

Summer  Complaint 435 

Supplementary  diet  of  infants 418 

Suppression  of  the  lochia 402 

do.  do.  urine 327 

do.  do.  menses 361 

Surditas 151 

Sun  stroke 113 

Swelling  or  elongation  of  the  palate.201 
do.  of  the  feet  and  limbs  dur- 
ing pregnancy 383 

Syncope 467 

Syphilis 336 


T PAGES. 

Table  of  doses 497 

Tapioca  jelly 477 

Tar  ointment 494 

Tea,  flax  seed 475 

Teething 426 

Teeth,  decay  of  the 181 

Tetter  . .T 53 

Thrush 428 

Throat,  affections  of  the 194 

do.  sore 194 

ulcerated  or  putrid  sore. . . . .198 

Tic  Douloureux 169 

Tincture  of  aconite 495 

do.  do.  cantharides 495 

do.  do.  lobelia 495 

do.  do.  black  cohosh,  com- 
pound  496 

do.  do.  camphor,  compound. . .496 
do.  do.  causticum,  compound.  .496 

do.  do.  lobelia,  compound 496 

do.  do.  myrrh,  compound 496 

do.  do.  Virginia  snake  root, 

compound  496 

do.  do.  arnica 497 

do.  do.  camphor 497 

Tinea  capitis 60 

Toast  water 475 

Toe  nail,  ingrowing 516 

Tongue,  inflammation  and  swelling 

of  the 185 

Tooth  ache 178 

Tooth  powders 182 

Trismus 174 

Typhoid  fever 69 

do.  pneumonia 220 

U 

Ulceration  of  the  nose 160 

Urticaria 18 

Urine,  retention  of. 327 

do.  incontinence  of 329 

do.  blood  with  the 333 

Useful  recipes 475 

V 

Virginia  snake  root,  compound  tinc- 
ture of .......... 496 


544 


OUR  FAMILY  PHYSICIAN, 


PAGES. 

Vaccination 48 

Varicella 40 

Variola 42 

Varioloid 48 

Varicose  veins  during  pregnancy 381 

Vegi table  soup 478 

Vertigo 107 

Vomiting 265 

W 

Want  of  appetite 253 

Warts 63 

Water  brash 253 

do.  gruel 477 

Weaning 418 

Weakness  of  sight 140 

Weeping  or  watery  eye 139 

Whites 370 

Wine  of  comfrey,  compound 493 

do . bitters,  restorative 493 


pages. 

Whey,  rennet 479 

do.  vinegar 479 

do.  alum 479 

do.  mustard 479 

do.  orange 479 

do.  sweet 479 

do.  wine 430 

Whitlow 516 

Whooping  cough 443 

Windpipe  and  chest,  affections  of  the  208 

do.  inflammation  of  the 209 

do.  foreign  substances  in  the.. 252 

Wood  soot  ointment 494 

Wromb,  falling  of  the 367 

Worms 293 

Worm  powder 495 

Y 

Yeast  poultice 499 

Yellow  fever 93 


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